Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1979
NPI: 1265449441
Practice Locations (2)
275 VICTORIA ST, 1H
COSTA MESA, CA 926271906
400 NEWPORT CTR DR, SUITE 501
NEWPORT BEACH, CA 926607606
9496462311
Source: CMS National Downloadable File, September 2026.