Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 1980
NPI: 1548259401
Practice Locations (2)
2600 REDONDO AVE, SUITE 500
LONG BEACH, CA 908062325
5623041740
23700 CAMINO DEL SOL
TORRANCE, CA 905055017
3105301151
Source: CMS National Downloadable File, September 2026.