Graduated: 2024
NPI: 1700602810
Practice Locations (2)
EAST BAY DERMATOLOGY MEDICAL GROUP INC.
2557 MOWRY AVE
FREMONT, CA 945381614
5107974111
EAST BAY DERMATOLOGY MEDICAL GROUP INC.
995 MONTAGUE EXPY, SUITE 111
MILPITAS, CA 950356827
4089577676
Source: CMS National Downloadable File, September 2026.