Medical school: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1971
NPI: 1881669596
Practice Locations (2)
REGENTS OF THE UNIVERSITY OF CALIFORNIA
100 MEDICAL PLAZA, SUITE 170
LOS ANGELES, CA 900950001
3103191234
REGENTS OF THE UNIVERSITY OF CALIFORNIA
1250 16TH ST
SANTA MONICA, CA 904041249
Source: CMS National Downloadable File, September 2026.