Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1285810762
Practice Locations (1)
REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES
1250 LA VENTA DR, SUITE 105
WESTLAKE VILLAGE, CA 913613758
8054946920
Source: CMS National Downloadable File, September 2026.