Graduated: 2025
NPI: 1184595787
Practice Locations (6)
861 HAROLD PL, SUITE 107
CHULA VISTA, CA 919144553
5412 THUNDERBIRD LN
LA JOLLA, CA 920377056
4033 6TH AVE
SAN DIEGO, CA 921032202
2805 FOSTER AVE, SUITE 207
NASHVILLE, TN 372105341
716 FIELDSTON RD
Bellingham, WA 982258704
748 MARKET ST, SUITE 58
TACOMA, WA 984023712
Source: CMS National Downloadable File, September 2026.