Graduated: 1988
NPI: 1316064264
Practice Locations (3)
4934 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA 916014443
12015 HEBE AVE
NORWALK, CA 906502451
PO BOX, SUITE 530
SIMI VALLEY, CA 93062
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Graduated: 1988
NPI: 1316064264
4934 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA 916014443
12015 HEBE AVE
NORWALK, CA 906502451
PO BOX, SUITE 530
SIMI VALLEY, CA 93062
Source: CMS National Downloadable File, September 2026.