Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2017
Offers telehealth
NPI: 1003347618
Practice Locations (1)
PROVIDENCE MEDICAL INSTITUTE
2701 W ALAMEDA AVE, SUITE 200
BURBANK, CA 915054406
8188431700
Source: CMS National Downloadable File, September 2026.