Graduated: 1995
NPI: 1851566004
Practice Locations (2)
RIDGECREST REGIONAL HOSPITAL
1081 N CHINA LAKE BLVD
RIDGECREST, CA 935553130
7604993899
EM ALLIANCE CALIFORNIA APC
36485 INLAND VALLEY DR
WILDOMAR, CA 925959681
9516771111
Source: CMS National Downloadable File, September 2026.