Patricia Monaliza Pascual, MD practices board-certified pediatric medicine at Kaiser Permanente's Rancho San Diego Medical Offices on Avocado Boulevard in La Mesa's Casa de Oro area, within the 91941 ZIP below Mt Helix. Pediatric spinal and postural evaluations for adolescent athletes at the practice generate referral coordination with East County providers such as Awesome Family Chiropractic for non-pharmacological musculoskeletal intervention. A graduate of UC Irvine School of Medicine with residency training at UC Irvine Medical Center, the practice holds California medical license A110749 and NPI 1033440011, with hospital affiliation at Sharp Grossmont Hospital for inpatient pediatric cases. First dental visit counseling during 12-month wellness checks connects families with La Mesa dentists including Authentic Dental Designs for establishing early preventive oral health baselines. The practice's highest-acuity protocols involve reactive airway disease step-therapy escalation, nebulizer-to-inhaler transition management, and serial peak-flow monitoring for pediatric patients with persistent moderate-to-severe asthma classifications.