Graduated: 2021
NPI: 1710366489
Practice Locations (2)
TYSON MEDICAL INC
2026 N IMPERIAL AVE, SUITE C
EL CENTRO, CA 922431607
7605924351
NORTH COUNTY HEALTH PROJECT INC
150 VALPREDA RD
SAN MARCOS, CA 920692973
6197366700
Source: CMS National Downloadable File, September 2026.