Graduated: 2019
Offers telehealth
NPI: 1093280604
Practice Locations (2)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
1301 20TH ST
SANTA MONICA, CA 904042053
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
2336 SANTA MONICA BLVD, SUITE 204
SANTA MONICA, CA 904042938
3108296789
Source: CMS National Downloadable File, September 2026.