Graduated: 2012
NPI: 1407112923
Practice Locations (2)
344 TEAKWOOD DR, SUITE 133021
BIG BEAR LAKE, CA 923159573
5209790301
VVIPA MEDICAL GROUP INC
42002 FOX FARM RD, UNIT D
BIG BEAR LAKE, CA 923152190
9098788000
Source: CMS National Downloadable File, September 2026.