Graduated: 1999
NPI: 1376628552
Practice Locations (2)
2311 LAKE TAHOE BLVD, SUITE 1
SOUTH LAKE TAHOE, CA 961507104
5307213253
2311 LAKE TAHOE BLVD, SUITE 1
SOUTH LAKE TAHOE, CA 961507129
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Graduated: 1999
NPI: 1376628552
2311 LAKE TAHOE BLVD, SUITE 1
SOUTH LAKE TAHOE, CA 961507104
5307213253
2311 LAKE TAHOE BLVD, SUITE 1
SOUTH LAKE TAHOE, CA 961507129
Source: CMS National Downloadable File, September 2026.