Medical school: OAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Graduated: 2019
Offers telehealth
NPI: 1013570563
Practice Locations (1)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
2001 SANTA MONICA BLVD, SUITE 560W
SANTA MONICA, CA 904042182
3104535654
Source: CMS National Downloadable File, September 2026.