Graduated: 2011
Offers telehealth
NPI: 1912270208
Practice Locations (2)
COUNTY OF COLUSA
162 E CARSON ST
COLUSA, CA 959322880
5304580520
SUD SPECIALTY GROUP - CA
4633 OLD IRONSIDES DR, SUITE 304
SANTA CLARA, CA 950541846
8662800260
Source: CMS National Downloadable File, September 2026.