Medical school: ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduated: 2021
NPI: 1023692415
Practice Locations (2)
COUNTY OF SANTA CRUZ
1080 EMELINE AVE, HEALTH SERVICES AGENCY FQHC SANTA CRUZ CLIN
SANTA CRUZ, CA 950601966
8314544100
COUNTY OF SANTA CRUZ
1430 FREEDOM BLVD
WATSONVILLE, CA 950762780
8317638400
Source: CMS National Downloadable File, September 2026.