Graduated: 2002
NPI: 1710183074
Practice Locations (3)
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
660 S FAIR OAKS AVE, VLY HLTH SUNNYVALE
SUNNYVALE, CA 940867913
4088855000
Source: CMS National Downloadable File, September 2026.