Medical school: KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduated: 1975
Also: FAMILY PRACTICE
NPI: 1679799456
Practice Locations (2)
5101 SANTA MONICA BLVD, SUITE 4
LOS ANGELES, CA 900292478
3237055552
6342 LAUREL CANYON BLVD
NORTH HOLLYWOOD, CA 916063213
8183375574
Source: CMS National Downloadable File, September 2026.