Medical school: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated: 1982
NPI: 1306971429
Practice Locations (2)
11540 SANTA MONICA BLVD, SUITE 202
Los Angeles, CA 900257905
11540 SANTA MONICA BLVD, SUITE 202
LOS ANGELES, CA 900257905
3104735464
Source: CMS National Downloadable File, September 2026.