Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1968
Offers telehealth
NPI: 1649280074
Practice Locations (3)
1301 20TH ST, SUITE 550
SANTA MONICA, CA 904042019
1301 20TH ST, SUITE 550
SANTA MONICA, CA 904042050
1301 20TH ST, SUITE 550
SANTA MONICA, CA 904042054
3108293544
Source: CMS National Downloadable File, September 2026.