Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1987
Offers telehealth
NPI: 1184725707
Practice Locations (1)
PACIFIC CENTRAL COAST HEALTH CENTERS
1255 LAS TABLAS RD, SUITE 201
TEMPLETON, CA 934659750
8057393890
Source: CMS National Downloadable File, September 2026.