Graduated: 2010
NPI: 1063843969
Practice Locations (3)
REGENTS OF THE UNIVERSITY OF CALIFORNIA
1000 FLOWER ST
GLENDALE, CA 912013007
8186595000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25825 VERMONT AVE
HARBOR CITY, CA 907103518
3103255111
REGENTS OF THE UNIVERSITY OF CALIFORNIA
11500 W OLYMPIC BLVD, SUITE 540
LOS ANGELES, CA 900641525
3102313001
Source: CMS National Downloadable File, September 2026.