Graduated: 2012
NPI: 1124379086
Practice Locations (3)
NORTHERN INYO HEALTHCARE DISTRICT
150 PIONEER LN
BISHOP, CA 935142556
7608735811
SOUTHERN MONO HEALTH CARE DISTRICT
85 SIERRA PARK RD
MAMMOTH LAKES, CA 935462073
7609343311
SOUTHERN MONO HEALTH CARE DISTRICT
PO BOX, SUITE 660
MAMMOTH LAKES, CA 935460660
Source: CMS National Downloadable File, September 2026.