Medical school: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1999
Offers telehealth
NPI: 1033161740
Practice Locations (2)
COUNTY OF STANISLAUS
500 N 9TH ST, SUITE A
MODESTO, CA 953505814
COUNTY OF STANISLAUS
2101 GEER RD, SUITE 120
TURLOCK, CA 953822456
2095584598
Source: CMS National Downloadable File, September 2026.