Graduated: 1979
NPI: 1164458170
Practice Locations (3)
5555 GROSSMONT CTR DR
LA MESA, CA 919423019
6197406000
3939 RUFFIN RD, SUITE 101
SAN DIEGO, CA 921231804
6192999530
770 WASHINGTON ST, SUITE 101
SAN DIEGO, CA 921032209
6192299530
Source: CMS National Downloadable File, September 2026.