Graduated: 1990
NPI: 1447589445
Practice Locations (3)
10640 RIVERSIDE DR
NORTH HOLLYWOOD, CA 916022319
11650 RIVERSIDE DR
NORTH HOLLYWOOD, CA 916021066
8186430517
7607 SANTA MONICA BLVD, SUITE 23
WEST HOLLYWOOD, CA 900466400
3234542575
Source: CMS National Downloadable File, September 2026.