Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1979
Offers telehealth
NPI: 1497762694
Practice Locations (2)
6200 DE SOTO AVE, SUITE 33404
WOODLAND HILLS, CA 913672697
5757707892
150 CERRITO COLORADO RD
VALDEZ, NM 875800433
5757707892
Source: CMS National Downloadable File, September 2026.