Graduated: 2017
NPI: 1235669409
Practice Locations (2)
DEPARTMENT OF STATE HOSPITALS
10333 EL CAMINO REAL, ATASCADERO STATE HOSPITAL
ATASCADERO, CA 934237001
9166518811
CEP AMERICA - CALIFORNIA
1400 E CHURCH ST
SANTA MARIA, CA 934545906
8057393000
Source: CMS National Downloadable File, September 2026.