Graduated: 2012
NPI: 1003171851
Practice Locations (2)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
2336 SANTA MONICA BLVD, SUITE 204
SANTA MONICA, CA 904042938
3108296789
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
4101 TORRANCE BLVD
TORRANCE, CA 905034607
3105407676
Source: CMS National Downloadable File, September 2026.