Medical school: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated: 1999
NPI: 1669497103
Practice Locations (2)
REGENTS OF THE UNIVERSITY OF CALIFORNIA
1225 15TH ST
SANTA MONICA, CA 904041101
3103191234
REGENTS OF THE UNIVERSITY OF CALIFORNIA
1245 16TH ST
SANTA MONICA, CA 904041235
3107941841
Source: CMS National Downloadable File, September 2026.