Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1995
Offers telehealth
NPI: 1558314096
Practice Locations (1)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
1821 WILSHIRE BLVD, SUITE 100
SANTA MONICA, CA 904035627
3105753100
Source: CMS National Downloadable File, September 2026.