Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1990
NPI: 1558311134
Practice Locations (1)
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC
77 CASA ST, 201 202
SAN LUIS OBISPO, CA 934055803
8052691500
Source: CMS National Downloadable File, September 2026.