Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 2005
Offers telehealth
NPI: 1578707642
Practice Locations (1)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
11645 WILSHIRE BLVD, SUITE 600
LOS ANGELES, CA 900256807
3104775558
Source: CMS National Downloadable File, September 2026.