Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1993
NPI: 1194753657
Practice Locations (2)
GENESIS HEALTHCARE PARTNERS PC
50 ALESSANDRO PL, SUITE 440
PASADENA, CA 911053146
6268084772
MARVEL PATH PC
15107 VANOWEN ST
VAN NUYS, CA 914054542
8187826600
Source: CMS National Downloadable File, September 2026.