Medical school: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2017
NPI: 1285169714
Practice Locations (6)
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
1001 POTRERO AVE
SAN FRANCISCO, CA 941103518
6282065871
CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC
33 BEIDEMAN ST
SAN FRANCISCO, CA 941153901
8056827744
TELLICA IMAGING LLC
8505 W OVERLAND RD
BOISE, ID 837091644
2084175100
IHC HEALTH SERVICES INC
5121 S COTTONWOOD ST
MURRAY, UT 841075701
8015077000
TELLICA IMAGING LLC
5217 S STATE ST, SUITE 200
MURRAY, UT 841074812
2084175100
TELLICA IMAGING - WASHINGTON LLC
2941 S 38TH ST, SUITE E
TACOMA, WA 984095647
2535348689
Source: CMS National Downloadable File, September 2026.