Graduated: 2021
NPI: 1396364048
Practice Locations (3)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
2121 SANTA MONICA BLVD
SANTA MONICA, CA 904042303
3108295511
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
2336 SANTA MONICA BLVD, SUITE 204
SANTA MONICA, CA 904042938
3108296789
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
901 WILSHIRE BLVD
SANTA MONICA, CA 904011854
Source: CMS National Downloadable File, September 2026.