Internal Medicine, Critical Care Medicine · 207RC0200X
Address on file
8700 Beverly Blvd Los Angeles, CA 90048 (310) 423-5161
Enumerated
Jul 29, 2009
Record last updated
Apr 21, 2025
License states listed
GA, NM, WA
Medicare (CMS)
Enrollment
Medicare-enrolled in CA, CT, DE, GA, ID, IL, IN, MT, NM, NY, OH, OR, PA, SC, TX, VA, WA, WV Critical Care (Intensivists), Internal Medicine, Pulmonary Disease
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.