Graduated: 1983
NPI: 1891712709
Practice Locations (2)
1401 S GRAND AVE
LOS ANGELES, CA 900153010
2137482411
INTERNATIONAL CENTER FOR MINIMALLY INVASIVE FOOT SURGERY
23164 VENTURA BLVD
WOODLAND HILLS, CA 913641101
8189145686
Source: CMS National Downloadable File, September 2026.