Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1999
Offers telehealth
NPI: 1336165125
Practice Locations (1)
COUNTY OF SAN LUIS OBISPO
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 934014535
8057814700
Source: CMS National Downloadable File, September 2026.