| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1417599432 | BYBEE-RAMOS | AMANDA | L | 2489 LAKE TAHOE BLVD STE 23 | SOUTH LAKE TAHOE | CA | 961507739 | |
| 1558997130 | ROSALES | ABISHAY | JETZABEL | 2489 LAKE TAHOE BLVD STE 23 | SOUTH LAKE TAHOE | CA | 961507739 |