Graduated: 2021
NPI: 1740041458
Practice Locations (2)
WELL COAST MEDICAL CORPORATION
4295 GESNER ST, SUITE 2E
SAN DIEGO, CA 921176660
8339311716
WELL COAST MEDICAL CORPORATION
1020 SW TAYLOR ST, SUITE 560
PORTLAND, OR 972052533
8339311716
Source: CMS National Downloadable File, September 2026.