Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 2005
Offers telehealth
NPI: 1114142999
Practice Locations (1)
1223 HIGUERA ST, SUITE 203
SAN LUIS OBISPO, CA 934013165
8058645330
Source: CMS National Downloadable File, September 2026.