Medical school: TOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated: 2021
Offers telehealth
NPI: 1992383087
Practice Locations (1)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
901 WILSHIRE BLVD, FL 3
SANTA MONICA, CA 904011854
3108298903
Source: CMS National Downloadable File, September 2026.