Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1995
Offers telehealth
NPI: 1790789287
Practice Locations (1)
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
200 UCLA MED PLAZA, B265
LOS ANGELES, CA 900246951
3108259304
Source: CMS National Downloadable File, September 2026.