Graduated: 1998
NPI: 1609043355
Practice Locations (6)
COUNTY OF SANTA CLARA
7475 CAMINO ARROYO
GILROY, CA 950207348
4088855000
COUNTY OF SANTA CLARA
750 S BASCOM AVE
SAN JOSE, CA 951282603
4088855000
COUNTY OF SANTA CLARA
750 S BASCOM AVE, VLY HLTH CEN BASCOM
SAN JOSE, CA 951282603
4088855000
COUNTY OF SANTA CLARA
751 S BASCOM AVE
SAN JOSE, CA 951282604
4088855000
COUNTY OF SANTA CLARA
751 S BASCOM AVE, SANTA CLARA VLY MED
SAN JOSE, CA 951282604
4088855000
ALTEA MEDICAL OREGON LLC
39 NE 102ND AVE
PORTLAND, OR 972204103
9183921702
Source: CMS National Downloadable File, September 2026.