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Jeff, Espresso generally sucks in New York. It is also generally very good in Northern California, and, from what I've heard, in LA. Dunno about San Diego, but
here is an article full of things to keep in mind when you make your own.
Basically, I think it makes sense to find a good place and go there.
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If this is the same place that I am thinking of - it is also the only place (that I know of) in Rome where one can get crepes. One of the first places I hit when in Rome - beats having to deal with France to get a good crepe.