Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1991
NPI: 1790839538
Practice Locations (2)
16542 VENTURA BLVD, SUITE 120
Encino, CA 914365034
16542 VENTURA BLVD, SUITE 120
ENCINO, CA 914365034
8186714556
Source: CMS National Downloadable File, September 2026.