Medical school: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
Offers telehealth
NPI: 1295777100
Practice Locations (2)
5767 W CENTURY BLVD
LOS ANGELES, CA 900455631
19191 S VERMONT AVE, FL 7 BUSINESS OFFICE
TORRANCE, CA 905021018
Source: CMS National Downloadable File, September 2026.