Graduated: 1977
Offers telehealth
NPI: 1730240474
Practice Locations (3)
2442 4TH AVE
SAN DIEGO, CA 921018646
2442 4TH AVE, SUITE 200
SAN DIEGO, CA 921018646
2442 4TH AVE, SUITE 200
SAN DIEGO, CA 921018647
6192341988
Source: CMS National Downloadable File, September 2026.