Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2014
Offers telehealth
NPI: 1528479383
Practice Locations (1)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
1811 WILSHIRE BLVD, SUITE 110
SANTA MONICA, CA 904035626
3104539010
Source: CMS National Downloadable File, September 2026.