Graduated: 2021
NPI: 1780356972
Practice Locations (3)
11921 CARMEL CREEK RD APT, SUITE 207
San Diego, CA 921302599
3900 5TH AVE, SUITE 300
San Diego, CA 921033138
11921 CARMEL CREEK RD, APT 207
SAN DIEGO, CA 921302563
Source: CMS National Downloadable File, September 2026.