Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1986
Also: COLORECTAL SURGERY (PROCTOLOGY)
Offers telehealth
NPI: 1114999489
Practice Locations (1)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
2001 SANTA MONICA BLVD, SUITE 680W
SANTA MONICA, CA 904042111
3108298928
Source: CMS National Downloadable File, September 2026.