Graduated: 2020
NPI: 1003444290
Practice Locations (2)
COUNTY OF SANTA CLARA
500 TULLY RD
SAN JOSE, CA 951111917
4088855000
COUNTY OF SANTA CLARA
750 S BASCOM AVE, VLY HLTH CEN BASCOM
SAN JOSE, CA 951282603
4088855000
Source: CMS National Downloadable File, September 2026.