Graduated: 2007
NPI: 1376733790
Practice Locations (3)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
2001 SANTA MONICA BLVD, SUITE 560W
SANTA MONICA, CA 904042182
3104535654
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
2336 SANTA MONICA BLVD, SUITE 204
SANTA MONICA, CA 904042938
3108296789
BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC
15 RAILROAD AVE
SOUTH HAMILTON, MA 019822218
9784687381
Source: CMS National Downloadable File, September 2026.