Graduated: 1988
Offers telehealth
NPI: 1083817522
Practice Locations (2)
COUNTY OF SONOMA
2225 CHALLENGER WAY
SANTA ROSA, CA 954075441
7075654861
COUNTY OF SONOMA
2255 CHALLENGER WAY, SUITE 107
SANTA ROSA, CA 954075423
7075654959
Source: CMS National Downloadable File, September 2026.