Graduated: 1959
Offers telehealth
NPI: 1164590469
Practice Locations (2)
6112 GREENBRIER DR
HUNTINGTON BEACH, CA 926485550
7147476035
SUD SPECIALTY GROUP - CA
4633 OLD IRONSIDES DR, SUITE 304
SANTA CLARA, CA 950541846
8662800260
Source: CMS National Downloadable File, September 2026.