| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1316181555 | HENNING MEHRENS, MD, INC. | 2130 LAKE TAHOE BLVD | SOUTH LAKE TAHOE | CA | 961506405 | |||
| 1861499709 | BOTTO | RICHARD | DAVID | 2130 LAKE TAHOE BLVD | SOUTH LAKE TAHOE | CA | 961506405 | |
| 1760467997 | HOEFER | JOHN | FOSTER | 1111 EMERALD BAY RD | SOUTH LAKE TAHOE | CA | 961506207 | |
| 1780682955 | MEHRENS | HENNING | 1111 EMERALD BAY RD | SOUTH LAKE TAHOE | CA | 961506207 | ||
| 1629075205 | PETERSON | RICHARD | NILS | 1111 EMERALD BAY RD | SOUTH LAKE TAHOE | CA | 961506207 |