Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1983
NPI: 1710014287
Practice Locations (1)
LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH
241 N FIGUEROA ST
LOS ANGELES, CA 900122601
2132408220
Source: CMS National Downloadable File, September 2026.