Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1376504902
Practice Locations (1)
CALIFORNIA COASTAL DERMATOLOGY A MEDICAL CORPORATION
28261 MARGUERITE PKWY, SUITE 200
MISSION VIEJO, CA 926923702
9495428500
Source: CMS National Downloadable File, September 2026.