Provider Information

Family Medicine
A88176
Yes

Location

6627 Bay Laurel Place Ste A
Avila Beach, CA 93424
(805) 540-3071
(805) 540-3072

Specialty

American Board of Family Medicine
Family Medicine

Credentials

Medical Education, Samara State Medical University
06-01-1994

Residency, Stanislaus Residency Program
07-01-1994 – 06-01-1996