Medical school: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1346247392
Practice Locations (2)
7135 HOLLYWOOD BLVD, SUITE 1206
Los Angeles, CA 900463212
7135 HOLLYWOOD BLVD, SUITE 1206
LOS ANGELES, CA 900463251
Source: CMS National Downloadable File, September 2026.