Graduated: 1999
NPI: 1154303477
Practice Locations (6)
760 OTAY LAKES RD
CHULA VISTA, CA 919106915
2381 ROSECRANS AVE, SUITE 115
EL SEGUNDO, CA 902454906
700 ADELINE ST
OAKLAND, CA 946072608
823 GATEWAY CTR WAY
San Diego, CA 921024541
823 GATEWAY CTR WAY
SAN DIEGO, CA 921024541
39000 PO BOX, SUITE 33404
SAN FRANCISCO, CA 941393404
Source: CMS National Downloadable File, September 2026.