Graduated: 1994
NPI: 1730188608
Practice Locations (3)
COUNTY OF SANTA CRUZ
1080 EMELINE
SANTA CRUZ, CA 950601966
COUNTY OF SANTA CRUZ
1080 EMELINE AVE
SANTA CRUZ, CA 950601966
8314545401
COUNTY OF SANTA CRUZ
1080 EMELINE AVE, HEALTH SERVICES AGENCY FQHC SANTA CRUZ CLIN
SANTA CRUZ, CA 950601966
8314544100
Source: CMS National Downloadable File, September 2026.