Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 1981
Offers telehealth
NPI: 1801888086
Practice Locations (2)
2021 SANTA MONICA BLVD, 510E
Santa Monica, CA 904042160
2021 SANTA MONICA BLVD, SUITE 510E
SANTA MONICA, CA 904042160
3108288531
Source: CMS National Downloadable File, September 2026.