Graduated: 2020
NPI: 1346594165
Practice Locations (2)
DEPARTMENT OF STATE HOSPITALS
10333 EL CAMINO REAL, ATASCADERO STATE HOSPITAL
ATASCADERO, CA 934237001
9166518811
PACIFIC CENTRAL COAST HEALTH CENTERS
116 S PALISADE DR, SUITE 200
SANTA MARIA, CA 934548905
8057393968
Source: CMS National Downloadable File, September 2026.