Graduated: 1988
NPI: 1689606790
Practice Locations (2)
REGENTS OF THE UNIVERSITY OF
101 THE CITY DR S
ORANGE, CA 928683201
7144567004
SOUTHERN CALIFORNIA EMERGENCY MEDICAL GROUP
1300 W 7TH ST
SAN PEDRO, CA 907323505
3105145350
Source: CMS National Downloadable File, September 2026.