Graduated: 2006
NPI: 1912134982
Practice Locations (4)
SCRIPPS HEALTH INPATIENT PROVIDERS MEDICAL GROUP INC
4077 5TH AVE
SAN DIEGO, CA 921032105
6192948111
COUNTY OF SANTA CLARA
2105 FOREST AVE
SAN JOSE, CA 951281425
4088855000
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.