Graduated: 2011
NPI: 1811274780
Practice Locations (3)
NORTHERN INYO HEALTHCARE DISTRICT
150 PIONEER LN
BISHOP, CA 935142556
7608735811
NORTHERN INYO HEALTHCARE DISTRICT
152 PIONEER LN
BISHOP, CA 935142563
SOUTHERN MONO HEALTH CARE DISTRICT
85 SIERRA PARK RD
MAMMOTH LAKES, CA 935462073
7609343311
Source: CMS National Downloadable File, September 2026.