Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1985
NPI: 1871677724
Practice Locations (2)
2050 HUNTINGTON DR, SUITE D
South Pasadena, CA 910304900
2050 HUNTINGTON DR D
SOUTH PASADENA, CA 910304900
6267994151
Source: CMS National Downloadable File, September 2026.