Graduated: 2020
NPI: 1417586801
Practice Locations (2)
EMERGENCY SERVICES MEDICAL CORPORATION CORONADO
250 PROSPECT PL
CORONADO, CA 921181943
8587594765
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
Source: CMS National Downloadable File, September 2026.