Medical school: UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduated: 1986
NPI: 1144240367
Practice Locations (1)
PACIFIC CENTRAL COAST HEALTH CENTERS
1941 JOHNSON AVE, SUITE 301
SAN LUIS OBISPO, CA 934014175
8057864111
Source: CMS National Downloadable File, September 2026.