Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2004
Offers telehealth
NPI: 1225204845
Practice Locations (2)
375 ROLLING OAKS DR, SUITE 200
Thousand Oaks, CA 913611027
375 ROLLING OAKS DR, SUITE 200
THOUSAND OAKS, CA 913611027
8054979481
Source: CMS National Downloadable File, September 2026.