Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1978
Offers telehealth
NPI: 1235154055
Practice Locations (2)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
2125 ARIZONA AVE
SANTA MONICA, CA 904041337
3105827450
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
2336 SANTA MONICA BLVD, SUITE 204
SANTA MONICA, CA 904042938
3108296789
Source: CMS National Downloadable File, September 2026.