Graduated: 2001
Offers telehealth
NPI: 1114097946
Practice Locations (3)
74900 HWY 111, SUITE 113
Indian Wells, CA 922107104
74-900 HWY 111, SUITE 113
INDIAN WELLS, CA 92210
7603416655
74900 HWY 111 113
INDIAN WELLS, CA 92210
Source: CMS National Downloadable File, September 2026.