Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1984
Also: CARDIAC SURGERY
NPI: 1508840570
Practice Locations (1)
GOLDEN STATE PROVIDERS, A MEDICAL CORPORATION
215 W JANSS RD
THOUSAND OAKS, CA 913601847
8058529100
Source: CMS National Downloadable File, September 2026.