Medical school: BAYLOR COLLEGE OF MEDICINE
Graduated: 2004
Offers telehealth
NPI: 1205085065
Practice Locations (1)
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
10833 LE CONTE AVE, 64 128
LOS ANGELES, CA 900951741
3107947333
Source: CMS National Downloadable File, September 2026.