Medical school: UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduated: 1993
Offers telehealth
NPI: 1891721718
Practice Locations (1)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
901 WILSHIRE BLVD, FL 2
SANTA MONICA, CA 904011854
3108298908
Source: CMS National Downloadable File, September 2026.