Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1528389905
Practice Locations (2)
10919 DELIBAN ST
Tujunga, CA 910421451
10919 DELIBAN ST
TUJUNGA, CA 910421451
6269450249
Source: CMS National Downloadable File, September 2026.