Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2017
Also: FAMILY PRACTICE
Offers telehealth
NPI: 1093241093
Practice Locations (1)
PROVIDENCE MEDICAL INSTITUTE
1010 N SEPULVEDA BLVD
MANHATTAN BEACH, CA 902665929
3103766262
Source: CMS National Downloadable File, September 2026.