Graduated: 2021
NPI: 1700463452
Practice Locations (2)
REGENTS OF THE UNIVERSITY OF
101 THE CITY DR S
ORANGE, CA 928683201
7144567004
PACIFIC EMERGENCY PROVIDERS A PROF CORP
4077 5TH AVE
SAN DIEGO, CA 921032105
6196863800
Source: CMS National Downloadable File, September 2026.