Our Mission:

We are committed to providing the highest quality of subacute care, post-acute care and rehabilitation therapies to individuals who are recovering from catastrophic injury events in personal injury and workers compensation. We accomplish this goal by a staffing patient ratio of 2 fulltime staff members per patient, providing our full attention to the plan of care that is individualized per patient to ensure their progression to wellness. Larger facilities house many patients with differing infections and diseases. We limit our patient load to only 6 at a time therefore reducing the risk of acquired infections as well as adhering to our strict infection control protocols.

Who We Are:

Managed by a multidisciplinary team of physicians, nurses and therapists, Coastal Injury Care Center is an inpatient rehabilitation facility and subacute care center that provides round-the-clock skilled nursing services and intensive rehabilitation therapies to individuals who have been severely and catastrophically injured. Our individualized care plans are managed by an interdisciplinary group of specialists including neurologists, orthopedists, physiatrists, podiatrists, wound care physicians, dentists, nurses, social workers, activity directors, respiratory therapists, registered dieticians, physical therapists, occupational therapists and speech therapists.

Common Injuries:
Coastal Injury Care Center provides services based upon each resident’s initial assessment, including but not limited to:
· Acquired Brain Injuries (traumatic, anoxic, aneurysms, cerebral vascular accidents)
· Spinal Cord Injuries (all levels including Halo care)
· Complex Wound Care (including V.A.C. Therapy)
· Pulmonary (Vent care and weaning, tracheostomy care, suctioning and de-cannulation)
· Amputee Care
· Medically Complex (multiple IV antibiotic therapy, isolation, TPN, G and J tube feeding)
· High-Intensity Rehabilitation (PT, OT, ST, LCSW, MSW)
· Orthopedically Complex (multiple trauma, fractures, non-weight bearing)

Coastal Injury Care Center provides the following services for patients in need of acute and subacute care.
· Individualized treatment programs managed by a multidisciplinary group of physicians including neurologists, orthopedists, physiatrists, podiatrists and wound care physicians.
· Continuous (24-hour) skilled nursing and supportive care provided by licensed healthcare professionals under the supervision and direction of a board certified Medical Director (MD/DO).
· Neurologic and/or vascular monitoring
· Ventilator or tracheostomy dependence/complex pulmonary care
· Respiratory Therapy services for oxygen delivery, suctioning, CPAP or BiPAP.
· Dietary care including tube feeding or total parenteral nutrition (TPN)
· Gastrostomy or ileostomy care not manageable at a lower level of care.
· Complex wound care (debridement, packing, extensive dressing)
· Medication monitoring
· Psychosocial support provided by licensed clinical social workers and psychiatrists.
· Subacute rehabilitation for physical, occupational and recreational therapy provided by licensed physical and occupational therapists.
· Skin care, oral care and position changes

Located 15 minutes outside of downtown San Diego in La Mesa, our newly remodeled facility has a fully equipped kitchen, entertainment area, rehabilitation room for therapeutic activities, a fully landscaped backyard and spacious rooms. Rooms are tastefully decorated and have hardwood flooring, closets and HDTV’s.


Robert Afra, M.D.
Board Certified Orthopaedic Surgeon

Dr. Robert Afra is a San Diego-based orthopedic surgeon who is nationally renowned in sports medicine with expertise in treating shoulder, elbow, wrist, hip, knee and ankle conditions. As the former Chief of Sports Medicine at the University of California, San Diego, Dr. Afra has published extensively in professional journals and books and presented at conferences around the world, where he is considered a pioneer in the study of shoulder, knee, elbow and ankle injuries in athletes and active adults. Dr. Afra is also a specialist in cartilage issues and pain in knee cap disorders; he was named Co-Director of the International Patellofemoral Study Group Conference in San Diego in July 2011. As a sports medicine physician, he has managed and treated complex joint injuries and successfully guided patients back to peak performance levels.

Dr. Afra takes a customized approach to treat each of his patients. He provides comprehensive care to injured athletes, from sprain rehabilitation and muscle and ligament tear repairs to care for broken bones. He regularly cares for children and active adults with injuries to the upper extremities (shoulders, elbows, and wrists) and lower extremities (hips, knees, and ankles). His joint replacement practice consists of shoulder replacement, hip replacement, and knee replacement surgery, including minimally invasive surgery techniques and traditional joint replacement surgery when necessary.

Dr. Afra completed his fellowship training in sports medicine at Boston University, where he treated a variety of elite college athletes in ice hockey, soccer, basketball, field hockey and lacrosse. Dr. Afra was a researcher at University of Hawaii’s Queen Emme Medical Center in the field of muscle and nerve physiology, and was a surgical fellow at the world-renowned Barnard O’Brien Microsurgical Institute in Melbourne, Australia. He has studied microsurgical techniques and the art of plastic surgery. Dr. Afra studied medicine at UCLA, where he also completed his surgery internship. Prior to attending medical school, Dr. Afra worked at the Salk Institute on an NIH research stipend. In 2010, Dr. Robert Afra was selected by the Arthroscopy Association of North America, a premiere sports medicine society, as one of three surgeons to lecture to university faculty in the United States and Canada.

Board Certified Neurologist

Practice Specialties

Dr. Lasker is trained to diagnose and treat neurological disorders, which result from abnormalities in the brain, spinal cord, and remainder of the nervous system. Dr. Lasker may perform a variety of tests and scans to arrive at the correct diagnosis, which is vital to creating an effective treatment plan for any given patient. Treatments can include medication management, numerous therapies, and lifestyle changes.

About the doctor

Bruce Lasker, M.D. earned a Bachelor of Arts (B.A.) in Science from Northwestern University in Chicago, Illinois. Having studied in the Honors Program as an undergraduate, Bruce Lasker stayed at Northwestern for his medical education, studying at the Feinberg School of Medicine and earning a Doctor of Medicine (M.D.) in 1981. Dr. Lasker completed both his internship in the Department of Medicine and his residency in the Department of Neurology at Northwestern before moving to La Jolla, California for a fellowship in Geriatric Neurology and Dementia at the University of California, San Diego.

After gaining his board certification as a neurologist in 1987, Dr. Lasker opened his own private practice, Pacific Neurology, in San Diego. While still practicing at Pacific Neurology, Dr. Lasker also serves in a number of additional roles. He is currently an Associate Clinical Professor in the Department of Neurosciences at the University of California, San Diego; a Neurological Disability Consultant for the Department of Social Services in San Diego and Los Angeles Counties; as well as a Qualified Medical Evaluator for the California Industrial Medical Council.

Dr. Bruce Lasker is a member of the American Academy of Neurology and is licensed to practice medicine in California, Colorado, and Nevada. Through his various professional positions, Dr. Lasker is currently affiliated with several hospitals including Sharp Memorial Hospital and Scripps Mercy Hospital in San Diego.

Previously, Dr. Lasker served as the Director of the Alzheimer’s Unit and the Stroke Director at Mission Bay Hospital. He also spent time as the Neurology Advisory Consultant for the San Diego Alzheimer’s Association



Doctor of Oriental Medicine/
Licensed Acupuncturist


Driven by his passion for mind/body peak performance, Dr. Mancini strives to achieve excellence for his patients. As a doctor of Oriental medicine, he assists his patients with a variety of health issues including acute and chronic pain, healthy weight loss, and the impact of all forms of stress and strain on the body.

He received his Doctorate in Oriental Medicine (O.M.D.) from South Baylor University. As a graduate of the first professional California approved Doctor of Oriental Medicine, Dr. Mancini practices with the highest standards of Oriental medicine making a complete integration into the present health care system. Using evidence-based treatment guidelines in standard scientific and medical terminology, he is able to communicate and integrate with the medical community. As a primary care doctor, Dr. Mancini is trained to determine when referrals are necessary.



Choll W. Kim, M.D., Ph.D
Board Certified Orthopaedic Spine Surgeon

Dr. Choll Kim graduated cum laude from Harvard Medical School and completed his fellowship training in complex spine surgery at the Mayo Clinic. In addition, he is double board certified by the American Board of Orthopedic Surgeons and the American Board of Spine Surgery.

Dr. Kim is an internationally recognized expert in the field of computer-assisted minimally invasive spine surgery. He has trained and continues to train specialists throughout the country on the safe and effective application of state-of-the-art techniques using image guidance and navigation technologies.

Dr. Kim utilizes a broad range of minimally invasive treatments to effectively treat all aspects of complex spinal disorders, including herniated disks, spinal stenosis, adult scoliosis, spondylolisthesis, traumatic injuries, tumors, and infections throughout the entire spine from the neck to the low back. He is one of only a handful of surgeons in the world to master laser endoscopic spine surgery (LESS), a state-of-the-art minimally invasive procedure that effectively treats herniated disks, radiculopathy and sciatica. The LESS procedure can be performed under local anesthesia, in a same day setting and with a small stab incision that is covered with a band aid.

A leader in his field, Dr. Kim is the founder and past-president of the Society for Minimally Invasive Spine Surgery (SMISS), the founder of Minimally Invasive Spine Centers of Excellence (MIS-COE), the chair of the MIS Committee for the International Society for the Advancement of Spine Surgery (ISASS), the director of the Advanced Spine & Joint Institute at Alvarado Hospital and an associate clinical professor at the University of California, San Diego.

Furthermore, Dr. Kim is a Qualified Medical Evaluator and a past voting member of the FDA Orthopedic Devices Panel, which reviews all new spinal technologies. He has designed minimally invasive instrumentation used by surgeons around the world. Dr. Kim is an active member of the North American Spine Society (NASS) and the American Academy of Orthopedic Surgeons (AAOS), and a fellow of the Scoliosis Research Society. Dr. Kim has over 200 publications and presentations.


Headaches, chronic pain, TMJ disorder, sports injuries, chiropractic services, massage therapy and acupuncture.


Dr. Garrett graduated from Life Chiropractic College West in 1986 and has been practicing in Downtown San Diego for over 28 years. Garrett Downtown Chiropractic offers rehabilitative care for injury patients in the San Diego, Hillcrest and neighboring areas. Patients looking for a doctor who can treat these types of injuries, without drugs or surgery, should contact our chiropractic office to make an appointment. Dr. Brian Garrett employs the most recent, cutting-edge techniques in auto injury rehab to help patients get back on their feet after they have suffered an injury. Available for phone consultations and complimentary consultation at the office.

Board Certified Diplomate:

Certified Chiropractic Sports Physician:

American Chiropractic Association Council on Sports Injuries and Physical Fitness

Max MRI is committed to providing state-of-the-art outpatient imaging services, by using the latest technology advances, such as the filmless digital PACS system. Max MRI’s true commitment is to our patients and referring physicians. We ensure the process is seamless from the moment the patient is referred until the report is completed. At Max MRI we have a dedicated staff that ensures this process by offering same day appointments, MRI reports within 24 hours and board-certified radiologists who are readily available for consultations.

Max MRI centers feature:

*Service areas include San Diego County, Orange County and L.A. County. See locations to find a Max MRI facility to serve you.

For over 20 years, Max MRI has been providing patients, medical professionals, and personal injury and worker’s compensation attorneys with the convenience of available appointment times, state-of-the-art diagnostic equipment, quick and accurate reporting, highly trained and certified staff members and board certified radiologists. Personal injury liens, worker’s compensation liens, medicare and most major insurance accepted. Located throughout Southern California, Max MRI continues to grow in San Diego, Orange County and L.A. County to best serve your needs.


Our services include annual and periodic preventive health services, routine well child and adult care, prompt sick care, employment and education physicals, and chronic disease management.

Associates in Family Medicine is a caring and innovative organization.  Patients and communities seek us out and depend on us for the highest quality medical care, provided in an atmosphere of compassion and dependability. Our employees have created a supportive work environment that encourages personal growth and mutual respect.

We have proudly served the needs of San Diego for over 15 years with a full range of healthcare services for your entire family. At our practice, we are committed to offering healthcare in an accessible, affordable, and comfortable environment.

We offer a wide-range of services including: Family Medicine, Cardiovascular, Urgent Services, Adolescent Care, Women’s Health, Immigration Exams, Supervised Weight Loss, and various Office Procedures.


Dr. Hamidi has been practicing medicine for 24 years.  She received her education at the Isfahan University School of Medicine, Isfahan, Iran, and her training at University of Southern California School Of Medicine, and her residency in Family Practice at San Joaquin General Hospital.

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