Graduated: 1988
NPI: 1346290012
Practice Locations (4)
SOUTHERN MONO HEALTH CARE DISTRICT
85 SIERRA PARK RD
MAMMOTH LAKES, CA 935462073
7609343311
TAHOE FOREST HOSPITAL DISTRICT
10051 LAKE AVE, SUITE 3
TRUCKEE, CA 961614870
5305877461
10121 PINE AVE
TRUCKEE, CA 961614835
5305876011
TAHOE FOREST HOSPITAL DISTRICT
10121 PINE AVE
TRUCKEE, CA 961614835
5305876011
Source: CMS National Downloadable File, September 2026.