Medical school: COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated: 1996
Offers telehealth
NPI: 1407830185
Practice Locations (2)
696 E SANTA CLARA, ST 210
SAN JOSE, CA 951121911
696 E SANTA CLARA ST, SUITE 210
SAN JOSE, CA 951121911
4082959839
Source: CMS National Downloadable File, September 2026.