Graduated: 2022
NPI: 1417627159
Practice Locations (2)
CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
82151 AVE, 42 SUITE 100
INDIO, CA 922039313
4422151320
NORTHEASTERN RURAL HEALTH CLINICS
1850 SPRING RIDGE DR
SUSANVILLE, CA 961306100
53025150001515
Source: CMS National Downloadable File, September 2026.