Medical school: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated: 1959
NPI: 1619036621
Practice Locations (2)
23928 LYONS AVE, SUITE 101
NEWHALL, CA 913212452
7472213443
6819 SEPULVEDA BLVD, SUITE 101
VAN NUYS, CA 914054464
7473638530
Source: CMS National Downloadable File, September 2026.