Medical school: CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduated: 1990
Offers telehealth
NPI: 1942240403
Practice Locations (2)
31862 COAST HWY, SUITE 400
Laguna Beach, CA 926516769
31862 COAST HWY, SUITE 400
LAGUNA BEACH, CA 926516788
8554195678
Source: CMS National Downloadable File, September 2026.