Graduated: 2011
NPI: 1629567490
Practice Locations (2)
RIDGECREST REGIONAL HOSPITAL
105 E SYDNOR AVE
RIDGECREST, CA 935555546
7604466404
RIDGECREST REGIONAL HOSPITAL
105 E SYDNOR AVE, SUITE 100
RIDGECREST, CA 935555546
7604466404
Source: CMS National Downloadable File, September 2026.