Graduated: 2021
NPI: 1164009973
Practice Locations (2)
REGENTS OF THE UNIVERSITY OF CALIFORNIA
1225 15TH ST
SANTA MONICA, CA 904041101
3103191234
REGENTS OF THE UNIVERSITY OF CALIFORNIA
100 MOODY CT, SUITE 200
THOUSAND OAKS, CA 913606082
8054183500
Source: CMS National Downloadable File, September 2026.