Medical school: CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduated: 2001
NPI: 1316944200
Practice Locations (2)
10309 SANTA MONICA BLVD, SUITE 300
Los Angeles, CA 900255007
10309 SANTA MONICA BLVD
LOS ANGELES, CA 900255007
3105523232
Source: CMS National Downloadable File, September 2026.