Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1790704161
Practice Locations (1)
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC
1057 E GRAND AVE
ARROYO GRANDE, CA 934202504
8054817220
Source: CMS National Downloadable File, September 2026.