Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1992
Offers telehealth
NPI: 1639104326
Practice Locations (1)
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
1260 15TH ST, SUITE 1200
SANTA MONICA, CA 904041147
3104518751
Source: CMS National Downloadable File, September 2026.