Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1990
Offers telehealth
NPI: 1598746174
Practice Locations (1)
PACIFIC CENTRAL COAST HEALTH CENTERS
1551 BISHOP ST, SUITE 230
SAN LUIS OBISPO, CA 934014661
8054345530
Source: CMS National Downloadable File, September 2026.