Graduated: 2009
NPI: 1588893788
Practice Locations (2)
REGENTS OF THE UNIVERSITY OF CALIFORNIA
16950 VIA TAZON
SAN DIEGO, CA 921271607
8009268273
REGENTS OF THE UNIVERSITY OF CALIFORNIA
200 W ARBOR DR
SAN DIEGO, CA 921039000
6195431847
Source: CMS National Downloadable File, September 2026.