Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2007
Offers telehealth
NPI: 1093950917
Practice Locations (1)
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
200 UCLA MEDICAL PLZ, SUITE 140
LOS ANGELES, CA 900953075
3108255986
Source: CMS National Downloadable File, September 2026.