Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1989
Offers telehealth
NPI: 1174552673
Practice Locations (1)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
1811 WILSHIRE BLVD, SUITE 201
SANTA MONICA, CA 904035626
3105666330
Source: CMS National Downloadable File, September 2026.