Graduated: 2003
NPI: 1295051852
Practice Locations (2)
RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH INC
11980 MOUNT VERNON AVE
GRAND TERRACE, CA 923135172
9098641097
RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH INC
23119 SOBOBA RD, SOBOBA INDIAN HEALTH CLINIC
SAN JACINTO, CA 925835517
9516540803
Source: CMS National Downloadable File, September 2026.