Medical school: WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated: 2012
Offers telehealth
NPI: 1093074627
Practice Locations (1)
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
19950 RINALDI ST, SUITE 300
PORTER RANCH, CA 913264141
8182712400
Source: CMS National Downloadable File, September 2026.