Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1975
NPI: 1750578183
Practice Locations (2)
7320 WOODLAKE AVE
WEST HILLS, CA 913071471
7320 WOODLAKE AVE, SUITE 240
WEST HILLS, CA 913071485
8189927786
Source: CMS National Downloadable File, September 2026.