Graduated: 2014
NPI: 1003775289
Practice Locations (3)
16885 W BERNARDO DR, SUITE 111
SAN DIEGO, CA 921271619
500 W JEFFERSON ST, SUITE 2310
Louisville, KY 402022881
500 W JEFFERSON ST
LOUISVILLE, KY 402022881
Source: CMS National Downloadable File, September 2026.