Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 1964
NPI: 1790713493
Practice Locations (2)
1101 N PACIFIC AVE, SUITE 104
Glendale, CA 912024313
1101 N PACIFIC AVE, SUITE 104
GLENDALE, CA 912024313
8185525000
Source: CMS National Downloadable File, September 2026.