Graduated: 1964
NPI: 1215009188
Practice Locations (5)
REGENTS OF THE UNIVERSITY OF CALIFORNIA
15503 VENTURA BLVD, SUITE 390
ENCINO, CA 914363114
8189958044
REGENTS OF THE UNIVERSITY OF CALIFORNIA
200 UCLA MEDICAL PLZ, SUITE 135
LOS ANGELES, CA 900958344
3102672023
REGENTS OF THE UNIVERSITY OF CALIFORNIA
1245 16TH ST, SUITE 105
SANTA MONICA, CA 904041239
3103158900
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
2020 SANTA MONICA BLVD, SUITE 210
SANTA MONICA, CA 904042139
3104582381
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
1250 LA VENTA DR, SUITE 101A
WESTLAKE VILLAGE, CA 913613760
8054946920
Source: CMS National Downloadable File, September 2026.