Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2020
NPI: 1649702093
Practice Locations (2)
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
2020 SANTA MONICA BLVD, SUITE 210
SANTA MONICA, CA 904042139
3104582381
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
2424 WILSHIRE BLVD
SANTA MONICA, CA 904035806
3108284530
Source: CMS National Downloadable File, September 2026.