Graduated: 2020
NPI: 1629606173
Practice Locations (2)
AVALON MEDICAL DEVELOPMENT CORPORATION
100 FALLS CANYON RD
AVALON, CA 907042990
3105100700
SOMAGEN HEALTHCARE INC
10538 MISSION GORGE RD, SUITE 100
SANTEE, CA 920713154
6194560033
Source: CMS National Downloadable File, September 2026.