Medical school: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated: 1994
Offers telehealth
NPI: 1285658500
Practice Locations (1)
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
200 UCLA MEDICAL PLZ, SUITE 526
LOS ANGELES, CA 900950001
3108259111
Source: CMS National Downloadable File, September 2026.