Medical school: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated: 2021
Offers telehealth
NPI: 1629656004
Practice Locations (1)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
2701 OCEAN PARK BLVD, SUITE 118
SANTA MONICA, CA 904055219
3108298917
Source: CMS National Downloadable File, September 2026.