Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1912081134
Practice Locations (2)
2880 ATLANTIC AVE, SUITE 200
LONG BEACH, CA 908061744
5624244277
601 DOVER DR, SUITE 14
NEWPORT BEACH, CA 926635701
9497199066
Source: CMS National Downloadable File, September 2026.