Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1427152016
Practice Locations (2)
UNIVERSITY OF CALIFORNIA IRVINE
2441 W LA PALMA AVE
ANAHEIM, CA 928012658
6572826356
UNIVERSITY OF CALIFORNIA IRVINE
800 N MAIN ST
SANTA ANA, CA 927013576
7144566324
Source: CMS National Downloadable File, September 2026.