Medical school: UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduated: 1995
Offers telehealth
NPI: 1376584482
Practice Locations (1)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
1821 WILSHIRE BLVD, SUITE 301
SANTA MONICA, CA 904035679
3108286027
Source: CMS National Downloadable File, September 2026.