Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1976
Also: INTERVENTIONAL CARDIOLOGY
Offers telehealth
NPI: 1932106002
Practice Locations (2)
NORTHERN CALIFORNIA CENTER FOR WELL-BEING
500 DOYLE PARK DR, SUITE 304A
SANTA ROSA, CA 954054558
7075756043
PROVIDENCE MEDICAL FOUNDATION
500 DOYLE PARK DR, SUITE G05
SANTA ROSA, CA 954054555
7075767100
Source: CMS National Downloadable File, September 2026.