Medical school: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated: 1994
Also: INFECTIOUS DISEASE
Offers telehealth
NPI: 1043281322
Practice Locations (1)
PROVIDENCE MEDICAL INSTITUTE
4201 TORRANCE BLVD, SUITE 260
TORRANCE, CA 905034534
4242125333
Source: CMS National Downloadable File, September 2026.