Medical school: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated: 2010
NPI: 1497998066
Practice Locations (1)
DEPARTMENT OF STATE HOSPITALS
10333 EL CAMINO REAL, ATASCADERO STATE HOSPITAL
ATASCADERO, CA 934237001
9166518811
Source: CMS National Downloadable File, September 2026.