Graduated: 2011
NPI: 1609118009
Practice Locations (2)
REGENTS OF THE UNIVERSITY OF CALIFORNIA
101 THE CITY DR S
ORANGE, CA 928683201
7144567004
LEGACY EMANUEL HOSPITAL AND HEALTH CENTER
2801 N GANTENBEIN AVE
PORTLAND, OR 972271623
5034134505
Source: CMS National Downloadable File, September 2026.