Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1963
Offers telehealth
NPI: 1871669374
Practice Locations (2)
4540 KEARNY VILLA RD, SUITE 117
SAN DIEGO, CA 921231555
4540 KEARNY VILLA RD, SUITE 117
SAN DIEGO, CA 921231577
8585651167
Source: CMS National Downloadable File, September 2026.