Medical school: SOUTHWEST SCHOOL OF MEDICINE AND HOSPITAL
Graduated: 2006
Offers telehealth
NPI: 1053339960
Practice Locations (2)
DEPARTMENT OF STATE HOSPITALS
10333 EL CAMINO REAL, ATASCADERO STATE HOSPITAL
ATASCADERO, CA 934237001
9166518811
31569 CANYON ESTATES DR, SUITE 113
LAKE ELSINORE, CA 925320470
9515069112
Source: CMS National Downloadable File, September 2026.