Graduated: 1995
NPI: 1710906094
Practice Locations (2)
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
1245 16TH ST
SANTA MONICA, CA 904041240
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
2020 SANTA MONICA BLVD, SUITE 210
SANTA MONICA, CA 904042139
3104582381
Source: CMS National Downloadable File, September 2026.