Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1997
Offers telehealth
NPI: 1962417386
Practice Locations (1)
UC REGENTS
1920 COLORADO AVE
SANTA MONICA, CA 904043414
3103194700
Source: CMS National Downloadable File, September 2026.