Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1995
NPI: 1972546406
Practice Locations (2)
231 W VERNON AVE, SUITE 202
LOS ANGELES, CA 900372779
3232387192
ACUTE CARE SURGERY MEDICAL GROUP INC
215 W JANSS RD
THOUSAND OAKS, CA 913601847
8054972727
Source: CMS National Downloadable File, September 2026.