Medical school: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated: 1996
Offers telehealth
NPI: 1427101187
Practice Locations (1)
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
1294 W 6TH ST, FL 2
SAN PEDRO, CA 907312987
3105196100
Source: CMS National Downloadable File, September 2026.