Graduated: 1997
NPI: 1184770653
Practice Locations (2)
TAHOE FOREST HOSPITAL DISTRICT
925 N LAKE BLVD, SUITE 102B
TAHOE CITY, CA 961452307
5305818864
CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP A PROFESSIONAL CORP
2104 N VILLAGE DR, SUITE L
TRUCKEE, CA 961614312
5305826594
Source: CMS National Downloadable File, September 2026.