Graduated: 2019
Offers telehealth
NPI: 1558872986
Practice Locations (3)
SOUTHERN MONO HEALTH CARE DISTRICT
PO BOX
MAMMOTH LAKES, CA 935460660
SOUTHERN MONO HEALTH CARE DISTRICT
PO BOX, SUITE 660
MAMMOTH LAKES, CA 935460660
BACCHUS WAKEFIELD KAHAN PC
340 FALCON RIDGE PKWY, SUITE 201
MESQUITE, NV 890278851
7029795966
Source: CMS National Downloadable File, September 2026.