Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 2006
Offers telehealth
NPI: 1154518629
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.