Graduated: 2010
NPI: 1609189737
Practice Locations (2)
WESTERN LABORATORIES
2000 MOWRY AVE
FREMONT, CA 945381716
8107971111
COUNTY OF SANTA CLARA
751 S BASCOM AVE, SANTA CLARA VLY MED
SAN JOSE, CA 951282604
4088855000
Source: CMS National Downloadable File, September 2026.