Graduated: 2021
NPI: 1366006454
Practice Locations (3)
4550 KEARNY VILLA RD, SUITE 118
San Diego, CA 921231574
4550 KEARNY VILLA RD, SUITE 118
SAN DIEGO, CA 921231574
6197213296
4550 KEARNY VILLA RD, SUITE 118
SAN DIEGO, CA 921231583
Source: CMS National Downloadable File, September 2026.