Medical school: WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated: 2007
Offers telehealth
NPI: 1619173267
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.