Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1985
Also: HOSPICE/PALLIATIVE CARE
Offers telehealth
NPI: 1043348436
Practice Locations (4)
PROVIDENCE MEDICAL INSTITUTE
21501 AVALON BLVD, SUITE 100
CARSON, CA 907452210
3108356627
PROVIDENCE MEDICAL INSTITUTE
GLENDALE, CA 91202
PROVIDENCE MEDICAL INSTITUTE
1300 W 7TH ST
SAN PEDRO, CA 907323505
3103037496
PROVIDENCE MEDICAL INSTITUTE
1499 W 1ST ST
SAN PEDRO, CA 907323255
3108319482
Source: CMS National Downloadable File, September 2026.