Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1205807146
Practice Locations (2)
100 UCLA MEDICAL PLZ, SUITE 720
LOS ANGELES, CA 900246900
100 UCLA MEDICAL PLZ, SUITE 720
LOS ANGELES, CA 900247001
Source: CMS National Downloadable File, September 2026.