Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1987
NPI: 1306866850
Practice Locations (1)
SURGICAL MULTISPECIALTIES MEDICAL GROUP
1701 CESAR CHAVEZ AVE, SUITE 300
LOS ANGELES, CA 900332496
3232642633
Source: CMS National Downloadable File, September 2026.