Graduated: 1999
NPI: 1831146893
Practice Locations (2)
DEPARTMENT OF STATE HOSPITALS
11401 BLOOMFIELD AVE
NORWALK, CA 906502015
9166518811
INDIAN HEALTH COUNCIL INC
50100 GOLSH RD
VALLEY CENTER, CA 920825338
7607491410
Source: CMS National Downloadable File, September 2026.