Graduated: 2009
NPI: 1992936868
Practice Locations (2)
TAHOE FOREST HOSPITAL DISTRICT
10051 LAKE AVE, SUITE 3
TRUCKEE, CA 961614870
5305877461
TAHOE FOREST HOSPITAL DISTRICT
10121 PINE AVE
TRUCKEE, CA 961614835
5305876011
Source: CMS National Downloadable File, September 2026.