Medical school: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated: 1980
Offers telehealth
NPI: 1457396269
Practice Locations (1)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
901 WILSHIRE BLVD, FL 3
SANTA MONICA, CA 904011854
3108298903
Source: CMS National Downloadable File, September 2026.