Medical school: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1083662456
Practice Locations (1)
PROACTIVE PHYSICAL THERAPY AND SPORTS MEDICINE INC
6070 AVENIDA ENCINAS, SUITE 100
CARLSBAD, CA 920111001
7604440102
Source: CMS National Downloadable File, September 2026.