Graduated: 1997
NPI: 1699854349
Practice Locations (4)
COUNTY OF SANTA CLARA
500 TULLY RD
SAN JOSE, CA 951111917
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
Source: CMS National Downloadable File, September 2026.