Graduated: 2000
NPI: 1811120371
Practice Locations (3)
UC REGENTS
101 THE CITY DR S
ORANGE, CA 928683201
7144567004
UNIVERSITY OF UTAH ADULT SERVICES
REDONDO BEACH, CA 902781902
8015812121
UNIVERSITY OF UTAH ADULT SERVICES
50 N MEDICAL DR
SALT LAKE CITY, UT 841320100
8015856387
Source: CMS National Downloadable File, September 2026.