Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2006
Offers telehealth
NPI: 1639394836
Practice Locations (1)
PACIFIC CENTRAL COAST HEALTH CENTERS
4460 BROAD ST, SUITE 110
SAN LUIS OBISPO, CA 934018065
8055976715
Source: CMS National Downloadable File, September 2026.