Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1760484240
Practice Locations (2)
2101 FOREST AVE, SUITE 100
San Jose, CA 951281448
2101 FOREST AVE, SUITE 100
SAN JOSE, CA 951281099
4082800755
Source: CMS National Downloadable File, September 2026.