Graduated: 2023
NPI: 1548026354
Practice Locations (4)
9430 TROPICO DR
LA Mesa, CA 919416815
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 921275705
777 LAWNDRES HILL RD
GREENVILLE, SC 296072101
777 LOWNDES HILL RD, BLDG 1
GREENVILLE, SC 296072131
Source: CMS National Downloadable File, September 2026.