Medical school: TOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated: 2020
NPI: 1700414661
Practice Locations (2)
CEP AMERICA - CALIFORNIA
115 MALL DR
HANFORD, CA 932305786
5595829000
CEP AMERICA - CALIFORNIA
1911 JOHNSON AVE
SAN LUIS OBISPO, CA 934014131
8055435353
Source: CMS National Downloadable File, September 2026.