Graduated: 1994
NPI: 1881615334
Practice Locations (3)
COUNTY OF SANTA CLARA
225 N JACKSON AVE
SAN JOSE, CA 951161603
8883341000
COUNTY OF SANTA CLARA
751 S BASCOM AVE
SAN JOSE, CA 951282604
COUNTY OF SANTA CLARA
751 S BASCOM AVE, SANTA CLARA VLY MED
SAN JOSE, CA 951282604
4088855000
Source: CMS National Downloadable File, September 2026.