Medical school: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated: 1983
Offers telehealth
NPI: 1942236906
Practice Locations (1)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
2021 SANTA MONICA BLVD, SUITE 625E
SANTA MONICA, CA 904042169
3108298948
Source: CMS National Downloadable File, September 2026.