Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1997
Offers telehealth
NPI: 1447284492
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
1007 39TH AVE SE
PUYALLUP, WA 983742192
2534353100
Source: CMS National Downloadable File, September 2026.