Graduated: 2013
NPI: 1336503713
Practice Locations (2)
MDRS SPINE AND SPORT INC
42150 JACKSON ST, SUITE 103
INDIO, CA 922039780
4423003200
LIVARA HEALTH MEDICAL GROUP PC
8866 NAVAJO RD
SAN DIEGO, CA 921192100
8443167997
Source: CMS National Downloadable File, September 2026.