Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1986
NPI: 1871555334
Practice Locations (6)
635 LASSEN LANE
MOUNT SHASTA, CA 960679003
635 LASSEN LN
MOUNT SHASTA, CA 960679003
5309265211
912 PINE ST
MOUNT SHASTA, CA 960672143
5309267131
914 PINE ST
MOUNT SHASTA, CA 960672143
5309266111
DIGNITY HEALTH
914 PINE ST
MOUNT SHASTA, CA 960672143
5309267131
635 LASSEN AVE, SUITE 100
MT SHASTA, CA 960679003
Source: CMS National Downloadable File, September 2026.