Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1902930068
Practice Locations (2)
1127 WILSHIRE BLVD, SUITE 809
LOS ANGELES, CA 900173909
PO BOX, SUITE 64395
LOS ANGELES, CA 900640395
Source: CMS National Downloadable File, September 2026.