EDUCATION
1973 Georgetown University College
of Arts & Sciences,
Washington, DC
B.S.
1977 Georgetown University School
of Medicine
Washington, D.C.
M.D.
1978 University of California Irvine
Orange and Long Beach, California
Pediatrics PL-1
1980 Children's Hospital of Northern
California
Oakland, California
Pediatrics PL-2,3
1981 University of California, Berkeley
Berkeley, California
M.P.H.
1983 Los Angeles Children's Hospital
Los Angeles, California
Adolescent Medicine Fellowship
2006 Concord Law School
Los Angeles, CA
JD
SPECIALTY
Pediatrics and Adolescent Medicine
Preventive Medicine
CERTIFICATION
National Medical Boards Certification
American Board of Pediatrics
Adolescent Medicine Subspecialty Board
American Board of Preventive Medicine
LICENSURE
California, Texas - Active
New York - Inactive
EXPERIENCE
August, 2006 Consulting Medical Director:
Care1St Health Plan, Alhambra, CA,
International Care Network, Irvine, CA Medical-legal, UM and other consulting
& Clinical practice, Sharp Rees-Stealy Medical Grp., SD, CA and other locums
(also Nov. 2001 - Sept.,. 2002& May, 2001 - Sept. 2001)
Oct 2002 - July, 2006 Medical Director:
Riverside Physician Network, Riverside, CA
Responsible for all aspects of medical management - 54k lives - Commercial &
Senor Plans MLR reduced from 89% - 76 %, profitability achieved
August - Oct., 2001 Vice-President
& Chief Medical Officer Tower Health, Long Beach, CA
Responsible for all health services including Health Education and Cultural
& Linguistics programs. Chair of UM, P&T, QM committees. Contracts with over
100 IPAs - Commercial and Medicaid Plan - 100K lives Worked with Conservators
to close Plan per State order
Nov, 2000 - August, 2001 Consulting Medical Director
Oct, 2001 - Dec., 2001 Tower Health,
Long Beach, CA
Responsible for UM, Claims Review, IPA denial oversight, Pharmacy Developed
disease management protocols and instituted an active case management program.
Chair, Utilization Management Committee Returned to consulting position when
company closed by State of CA
Dec, 2000 - April, 2001, Medical
Sciences Director, Real-age.com
Sorrento Valley, San Diego, CA
Medical Director for science
team for innovative Internet Health Information, Education and Disease Management
website.
Sept, 1998 - Dec, 2000 Pediatric
and Adult Urgent Care &
May, 2000-Dec, 2001 Medical Management & Medical-Legal Expert Consulting
Children's Hospital San Diego, Sharp Rees-Stealy Pediatrics, Valley Immediate
Care, Clinica Consuela,, CCN, Inc, TASA and others
Jan, 1998 - Aug, 1998 Medical Director
& Director of Health Services
Great American Health Plan, San Diego, CA
Responsible for QA, QM, UM, Credentialing, Pharmacy and Health Education Demonstrated
quality in presentations to physicians, non clinical staff, managed care organizations,
local/state political advocacy programs and consumers Directed a cohesive health
services team for start-up MediCal ( Medicaid) Managed Care Company Led the
organization's first successful audit by the California Department of Health
Services Worked with start-up IPA and several others
July, 1995 Regional Medical Director
Oct, 1997 FHP Health Care, San Diego,
California
Responsible for all of Northern CA, plus half of Southern, CA 500k lives and
over 150 IPAs Responsible for Physician and IPA liaison with assigned regions,
as well as QM, Risk and Case Management reviews for Commercial and Senior Medicare
risk HMO products. Improved Credentialing processes. Revised and reinstated
technology assessment program. Assisted in passing California tech assessment
legislation Transitioned various elements of the delivery system through financial
and personnel changes and reorgs Member : California and National Pharmacy &
Therapeutics Comm, HEDIS Improvement Committee Inter-regional Benefit Interpretation
Committee Southern California QM Committee Statewide Credentialing Committee
Southern California Claims Appeals Board California Government Affairs Committee
Chair: Sub-regional Health Care Advisory Committees Technology Assessment Committee
for California Medical Director for California Organ Transplant Program California
Medical Director for Government Affairs
May, 1994-Associate Medical Director, Southern California Market
July, 1995 Aetna Health Plans of California, San Bernardino, California
Developed health education and community
involvement programs for health plan members and employees
Chair: Quality Management Committee. Pharmacy Committee. Developed
epidemiological, evaluative and interventional clinical studies Assisted national
office in review of technology assessments and preventive health guidelines
and programs Prepared for NCQA review Substitute Member, National Pharmacy &
Therapeutics committee Streamlined Credentialing process for over 9,000 physicians
per year Over 600K lives and over 100 IPAs
October, 1991 Associate Professor
of Pediatrics, Internal Medicine, Surgery &
May, 1994 Preventive Medicine
Director of Adolescent Medicine.
Pediatric and Adult Emergency Room Faculty. University of Texas Medical Branch,
Galveston, Texas. New Drug Approval Committee. Emergency Room Oversight Committee.
Computer & Information Services Committee.
1987-1991 Pediatrician, Private Practice
Thousand Oaks and Redlands, California
Attending Physician Pediatric Ward
& Juvenile Clinics, Ventura Cnty. Med Center 1988, San Bernardino County. Juvenile
Hall, 1989 - 91,
Medical Dir., University of Redlands College Health Center, 1990-1991
1985-1987 Assistant Professor of
Pediatrics, Adolescent and Preventive Medicine
New York Medical College, Valhalla, New York
Successful Author of $600,000 Robert Wood Johnson Grant
Director of Research, Adolescent Medicine Division
1983-1985 College Health Physician
Student Health Center, Loyola Marymount University, LA, CA
ORGANIZATIONS
American College of Physician Executives
American Academy of Pediatrics, Fellow
Society for Adolescent Medicine, Fellow
American Public Health Association
International Association for Adolescent Health
ACADEMIC TEACHING EXPERIENCE
Available upon request.
PAID CONSULTING
Available upon request.
RESEARCH GRANTS AWARDED
Available upon request.
SERVICE GRANTS WRITTEN AND AWARDED
Available upon request.
PROFESSIONAL SOCIETY MEMBERSHIPS
Available upon request.
BOARD CERTIFICATION & PROFESSIONAL SOCIETY FELLOWSHIPS
National Medical Boards Certification, 1978
American Board of Pediatrics Certification, 1981
Board Certified - Adolescent Medicine 11/94
Board Certified - Preventive Medicine 11/98
Recertified - Pediatrics & Adolescent Medicine 4/00
American Ht. Assn. CPR, Neonatal Resuscitation Certification and Pediatric Advanced Life Support, 1993-1994 (PALS Instructor), recertified, NN Resuscitation, 5/2002
INTERNATIONAL HEALTH EXPERIENCE
Available upon request.
INTERNATIONAL MEDICAL CONFERENCES
Available upon request.
LANGUAGES
English (Native)
French (Very Good)
Spanish (Good)
Portuguese (Fair)
American Sign Lang., Russian, German, Italian (All Beginning Level)
Latin (2 years)
PEER REVIEW MEDICAL JOURNAL ARTICLES
Available upon request.
NON-PEER REVIEW MEDICAL JOURNAL ARTICLES
Available upon request.
PAPERS AND POSTERS PRESENTED AT CONFERENCES
Available upon request.
WORKSHOPS PRESENTED AT CONFERENCES\
Available upon request.
ABASTRACTS PUBLISHED AT MEETINGS BUT NOT PRESENTED
Available upon request.
LETTERS TO EDITOR IN MEDICAL JOURNALS
Available upon request.
OTHER PUBLICATIONS
Available upon request.
GROUND ROUNDS AND OTHER CME PRESENTATIONS
The Refugee Camps of Thailand
Health Care for Southeast Asian Immigrants
Adolescent Medicine
Sexually Transmitted Diseases
Suicide and Depresssion in Adolescents
Refugee Camps in Honduras
Intestinal Parasites
Drug Abuse in Adolescents
The Medical Consequences of Nuclear War & The Arms Race
Eating Disorders in Adolescence
Adolescent Concerns about the Threat of Nuclear War
Pediatric & Adolescent Gynecology
Toxic Environmental Hazards: A Primer For Pediatricians
The Nuclear Winter
What's New in Congenital Infections
Pediatric and Adolescent Sports Medicine
Adolescent Homosexuality
Getting Into Adolescents' Heads: The Psychosocial Review of Systems
New Ways of Thinking? Psychology & The Nuclear Arms Race
Evaluation of Child Sexual Abuse
Public Health Issues in Adolescent Medicine
Sexually Transmitted Diseases in Children
Other Presentations and Details of Each Available upon Request.
Also available upon request are numerous talks given to medical, nursing and public health students, residents and to the general public, or numerous radio and television appearances on a broad range of topics.
KEYWORDS
Pediatrician Board Certified, Pediatrics Board Certified, General Preventive Medicine Expert Witness, Adolescent Medicine Expert Witness, Review Cases for Merit Expert Witness, Administrative Medicine Regarding Medical Groups Expert Witness, Administrative Medicine Regarding HMOs Expert Witness, Administrative Medicine Regarding Hospitals Expert Witness, Young Adult Medicine Expert Witness, College Health Expert Witness, STDs Expert Witness, Pediatric Toxins Expert Witness, Child Physical Abuse Expert Witness, Child Sexual Abuse Expert Witness, Public Health Expert Witness