Medical school: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated: 1985
NPI: 1609830637
Practice Locations (1)
PATHOLOGY MEDICAL GROUP OF SAINT JOHNS
2121 SANTA MONICA BLVD
SANTA MONICA, CA 904042303
3108298101
Source: CMS National Downloadable File, September 2026.