Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1996
Offers telehealth
NPI: 1427079250
Practice Locations (1)
3756 SANTA ROSALIA DR, SUITE 506
LOS ANGELES, CA 900083605
3236175409
Source: CMS National Downloadable File, September 2026.