Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 2013
Offers telehealth
NPI: 1548603517
Practice Locations (1)
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
100 MOODY CT, SUITE 200
THOUSAND OAKS, CA 913606082
8054183500
Source: CMS National Downloadable File, September 2026.