Graduated: 1994
NPI: 1235334376
Practice Locations (2)
COUNTY OF SAN DIEGO
1000 BROADWAY, SUITE 210
EL CAJON, CA 920214899
6194015500
BIG LEAP MEDICAL GROUP OF CALIFORNIA P.C.
7855 FAY AVE, SUITE 200
LA JOLLA, CA 920374267
4157920195
Source: CMS National Downloadable File, September 2026.