Graduated: 2000
NPI: 1427277136
Practice Locations (2)
MEMORIALCARE MEDICAL FOUNDATION
722 BAKER ST
COSTA MESA, CA 926264320
7145576300
RIDGECREST REGIONAL HOSPITAL
1081 N CHINA LAKE BLVD
RIDGECREST, CA 935553130
7604993899
Source: CMS National Downloadable File, September 2026.