Graduated: 2007
NPI: 1710183132
Practice Locations (2)
COUNTY OF SANTA CLARA
500 TULLY RD
SAN JOSE, CA 951111917
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.