Graduated: 1986
NPI: 1962548982
Practice Locations (3)
2901 OCEAN PARK BLVD, SUITE 212
Santa Monica, CA 904052982
1752 OCEAN PARK BLVD
SANTA MONICA, CA 904054950
2901 OCEAN PARK BLVD, SUITE 212
SANTA MONICA, CA 904052982
3102937804
Source: CMS National Downloadable File, September 2026.