Graduated: 2022
NPI: 1023759420
Practice Locations (2)
EISENHOWER MEDICAL CENTER
78120 WILDCAT DR
PALM DESERT, CA 922111140
7603402682
EISENHOWER MEDICAL CENTER
39950 VISTA DEL SOL
RANCHO MIRAGE, CA 922703206
7603400053
Source: CMS National Downloadable File, September 2026.