Graduated: 1995
NPI: 1063788222
Practice Locations (4)
SAN DIEGO CRITICAL CARE MEDICAL GROUP INC
250 PROSPECT PL
CORONADO, CA 921181943
6195223600
EMERGENCY AND ACUTE CARE MEDICAL CORPORATION
250 PROSPECT PL
CORONADO, CA 921181943
6195223600
SAN DIEGO CRITICAL CARE MEDICAL GROUP INC
5555 GROSSMONT CTR DR
LA MESA, CA 919423019
6194611920
PROVIDENCE MEDICAL FOUNDATION
400 N MCDOWELL BLVD
PETALUMA, CA 949542339
7077782631
Source: CMS National Downloadable File, September 2026.