Medical school: CALIFORNIA UNIVERSITY OF SCIENCE AND MEDICINE
Graduated: 2020
Offers telehealth
NPI: 1235768714
Practice Locations (1)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
1811 WILSHIRE BLVD, SUITE 110
SANTA MONICA, CA 904035626
3104539010
Source: CMS National Downloadable File, September 2026.