Graduated: 2004
NPI: 1124253323
Practice Locations (2)
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
2020 SANTA MONICA BLVD
SANTA MONICA, CA 904042124
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
2020 SANTA MONICA BLVD, SUITE 210
SANTA MONICA, CA 904042139
3104582381
Source: CMS National Downloadable File, September 2026.