Graduated: 2021
Offers telehealth
NPI: 1528631470
Practice Locations (2)
REGENTS OF THE UNIVERSITY OF
101 THE CITY DR S
ORANGE, CA 928683201
7144568068
REGENTS OF THE UNIVERSITY OF CALIFORNIA
101 THE CITY DR S
ORANGE, CA 928683201
7144567002
Source: CMS National Downloadable File, September 2026.