Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1996
NPI: 1124006838
Practice Locations (1)
PACIFIC CENTRAL COAST HEALTH CENTERS
2901 N VENTURA RD, SUITE 110
OXNARD, CA 930369705
8059816163
Source: CMS National Downloadable File, September 2026.