Graduated: 2022
NPI: 1356845150
Practice Locations (2)
SUD SPECIALTY GROUP - CA
4633 OLD IRONSIDES DR, SUITE 304
SANTA CLARA, CA 950541846
8662800260
PACIFIC BLUE PSYCHOLOGICAL SERVICES
15235 BURBANK BLVD, SUITE A2
SHERMAN OAKS, CA 914113555
3103060335
Source: CMS National Downloadable File, September 2026.