Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1093717472
Practice Locations (1)
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC
1551 BISHOP ST, SUITE 240
SAN LUIS OBISPO, CA 934014661
8054341038
Source: CMS National Downloadable File, September 2026.