Graduated: 1984
NPI: 1497741128
Practice Locations (3)
4700 SPRING ST, SUITE 306
LA MESA, CA 919422294
6192608200
9984 SCRIPPS RANCH BLVD, SUITE 127
SAN DIEGO, CA 921311825
STE, 127 9984 SCRIPPS RANCH BLVD
SAN DIEGO, CA 921311825
Source: CMS National Downloadable File, September 2026.