Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 2011
NPI: 1619315108
Practice Locations (2)
414 N CAMDEN DR, SUITE 650
BEVERLY HILLS, CA 902104513
3102781594
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
2121 SANTA MONICA BLVD
SANTA MONICA, CA 904042303
3108295511
Source: CMS National Downloadable File, September 2026.