Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1987
Offers telehealth
NPI: 1215965637
Practice Locations (1)
COUNTY OF LOS ANGELES
1333 CHESTNUT AVE
LONG BEACH, CA 908132944
5627532315
Source: CMS National Downloadable File, September 2026.