Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1979
Offers telehealth
NPI: 1952345811
Practice Locations (3)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
1301 20TH ST, SUITE 300
SANTA MONICA, CA 904042087
3108297792
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
2121 SANTA MONICA BLVD
SANTA MONICA, CA 904042303
3108295511
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
2336 SANTA MONICA BLVD, SUITE 204
SANTA MONICA, CA 904042938
3108296789
Source: CMS National Downloadable File, September 2026.