Graduated: 2010
NPI: 1740489541
Practice Locations (3)
2777 JEFFERSON ST, SUITE 200
CARLSBAD, CA 920081743
7607173293
4929 DEL MONTE AVE APT, SUITE 106
San Diego, CA 921076216
4929 DEL MONTE AVE, APT 106
SAN DIEGO, CA 921073225
Source: CMS National Downloadable File, September 2026.