Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1975
NPI: 1275639379
Practice Locations (2)
LAKESIDE MEDICAL ORGANIZATION A MEDICAL GROUP INC
191 S BUENA VISTA ST, SUITE 150
BURBANK, CA 915054522
8182955920
LAKESIDE MEDICAL ORGANIZATION A MEDICAL GROUP INC
191 S BUENA VISTA ST, SUITE 200 AND 240
BURBANK, CA 915054542
8188872671
Source: CMS National Downloadable File, September 2026.