Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1985
Offers telehealth
NPI: 1336205731
Practice Locations (2)
415 ROLLING OAKS DR, SUITE 260
Thousand Oaks, CA 913611033
415 ROLLING OAKS DR, SUITE 260
THOUSAND OAKS, CA 913611033
8053714707
Source: CMS National Downloadable File, September 2026.