Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1992
NPI: 1861436800
Practice Locations (2)
REGENTS OF THE UNIVERSITY OF CALIFORNIA
1225 15TH ST
SANTA MONICA, CA 904041101
3103191234
REGENTS OF THE UNIVERSITY OF CALIFORNIA
1245 16TH ST
SANTA MONICA, CA 904041235
3107941841
Source: CMS National Downloadable File, September 2026.