Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 1998
NPI: 1770614299
Practice Locations (1)
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
1000 W CARSON ST, DMH HARBOR UCLA
TORRANCE, CA 905092004
2134306700
Source: CMS National Downloadable File, September 2026.