Graduated: 2000
Offers telehealth
NPI: 1063416840
Practice Locations (3)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
1821 WILSHIRE BLVD, SUITE 100
SANTA MONICA, CA 904035627
3105753100
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
2121 SANTA MONICA BLVD
SANTA MONICA, CA 904042303
3108295511
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
2336 SANTA MONICA BLVD, SUITE 204
SANTA MONICA, CA 904042938
3108296789
Source: CMS National Downloadable File, September 2026.