Graduated: 2015
NPI: 1225434962
Practice Locations (2)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
1301 20TH ST, SUITE 300
SANTA MONICA, CA 904042087
3108297792
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
2336 SANTA MONICA BLVD, SUITE 204
SANTA MONICA, CA 904042938
3108296789
Source: CMS National Downloadable File, September 2026.