Graduated: 1975
NPI: 1609881374
Practice Locations (3)
REGENTS OF THE UNIVERSITY OF CALIFORNIA
100 UCLA MEDICAL PLZ, SUITE 460
LOS ANGELES, CA 900247000
3104438999
REGENTS OF THE UNIVERSITY OF CALIFORNIA
10833 LE CONTE AVE
LOS ANGELES, CA 900953075
REGENTS OF THE UNIVERSITY OF CALIFORNIA
10833 LE CONTE AVE, A0125CHS
LOS ANGELES, CA 900951668
3108258879
Source: CMS National Downloadable File, September 2026.