Graduated: 2020
Offers telehealth
NPI: 1114560711
Practice Locations (3)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
12555 W JEFFERSON BLVD
LOS ANGELES, CA 900667032
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.