Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1993
NPI: 1801880786
Practice Locations (2)
2211 W MAGNOLIA BLVD, SUITE 250
BURBANK, CA 915061760
8185661490
EMANATE HEALTH MEDICAL CARE FOUNDATION
1135 S SUNSET AVE, SUITE 401
WEST COVINA, CA 917903921
6267328391
Source: CMS National Downloadable File, September 2026.