Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1932270097
Practice Locations (2)
17310 VENTURA BLVD
Encino, CA 913163904
17310 VENTURA BLVD
ENCINO, CA 913163904
8187284260
Source: CMS National Downloadable File, September 2026.