Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1968
NPI: 1912121799
Practice Locations (3)
14443 TITUS ST
PANORAMA CITY, CA 914025251
7477773445
GOOD HEALTH MEDICAL INC
5350 MADISON AVE
SACRAMENTO, CA 958413169
9166770008
14558 SYLVAN ST, SUITE 104
VAN NUYS, CA 914112324
8182089344
Source: CMS National Downloadable File, September 2026.