Graduated: 2013
NPI: 1184045809
Practice Locations (2)
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA-IRVINE
101 THE CITY DR S
ORANGE, CA 928683201
7144567890
PROVIDENCE MEDICAL INSTITUTE
4101 TORRANCE BLVD
TORRANCE, CA 905034607
3103037496
Source: CMS National Downloadable File, September 2026.