Dual board-certified by the American Board of Family Medicine and in hospice and palliative medicine, Dr. Margaret Elizondo practices on Fletcher Parkway in La Mesa's Grossmont area near Sharp Grossmont Hospital. Her palliative and end-of-life care model integrates with home-based services, and the coordination of transitional support for homebound patients extends through providers such as Home Instead in the La Mesa service area. She earned her medical degree from the Keck School of Medicine at USC in 1990 and completed a family medicine residency at UC San Diego Medical Center, building clinical expertise across the full primary-care spectrum before specializing in hospice medicine. Spanish-language fluency enhances communication with bilingual families navigating complex end-of-life decisions. Grief and bereavement support for patient families represents a core extension of the palliative-medicine model, with structured counseling referrals connecting through A Counseling Collective in La Mesa. Her highest-acuity palliative interventions include subcutaneous medication delivery via continuous infusion pump, intrathecal pain-management catheter oversight, and symptom-burden scoring using the Edmonton Symptom Assessment System for patients with advanced malignancy or end-stage organ failure.