Graduated: 2024
NPI: 1194318436
Practice Locations (3)
861 HAROLD PL, SUITE 107
CHULA VISTA, CA 919144553
1080 PARK BLVD UNIT, SUITE 1712
San Diego, CA 921015649
9855 ERMA RD, SUITE 133
SAN DIEGO, CA 921311092
Source: CMS National Downloadable File, September 2026.