Medical school: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated: 1995
Also: GENERAL PRACTICE
Offers telehealth
NPI: 1699717462
Practice Locations (1)
12099 W WASHINGTON BLVD, SUITE 400
LOS ANGELES, CA 900662620
3103983803
Source: CMS National Downloadable File, September 2026.