Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2000
Offers telehealth
NPI: 1285686048
Practice Locations (1)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
1821 WILSHIRE BLVD, SUITE 100
SANTA MONICA, CA 904035627
3105753100
Source: CMS National Downloadable File, September 2026.