Medical school: UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated: 1993
Offers telehealth
NPI: 1790798981
Practice Locations (3)
P O BOX, SUITE 848299
LOS ANGELES, CA 90084
PO BOX
LOS ANGELES, CA 90084
15 GRUMMAN RD W, SUITE 1400
BETHPAGE, NY 117145029
Source: CMS National Downloadable File, September 2026.