Medical school: UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduated: 1983
Offers telehealth
NPI: 1336243666
Practice Locations (2)
1350 W 6TH ST, SUITE 200
San Pedro, CA 907323508
1350 W 6TH ST
SAN PEDRO, CA 907323508
3108320686
Source: CMS National Downloadable File, September 2026.