Graduated: 2000
NPI: 1083728513
Practice Locations (2)
RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH INC
11555 /2 POTRERO RD
BANNING, CA 922206946
9518494761
RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH INC
11980 MOUNT VERNON AVE
GRAND TERRACE, CA 923135172
9098641097
Source: CMS National Downloadable File, September 2026.