Graduated: 2006
Offers telehealth
NPI: 1073967394
Practice Locations (2)
REGENTS OF THE UNIVERSITY OF
101 THE CITY DR S
ORANGE, CA 928683201
7144568068
REGENTS OF THE UNIVERSITY OF CALIFORNIA
101 THE CITY DR S
ORANGE, CA 928683201
7144567002
Source: CMS National Downloadable File, September 2026.