Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 2023
NPI: 1003376831
Practice Locations (5)
COUNTY OF SANTA CLARA
2105 FOREST AVE
SAN JOSE, CA 951281425
4088855000
COUNTY OF SANTA CLARA
2325 ENBORG LANE
SAN JOSE, CA 951282604
COUNTY OF SANTA CLARA
750 S BASCOM AVE, VLY HLTH CEN BASCOM
SAN JOSE, CA 951282603
4088855000
COUNTY OF SANTA CLARA
751 S BASCOM AVE
SAN JOSE, CA 951282604
4088855000
COUNTY OF SANTA CLARA
751 S BASCOM AVE, SANTA CLARA VLY MED
SAN JOSE, CA 951282604
4088855000
Source: CMS National Downloadable File, September 2026.