Graduated: 2012
Offers telehealth
NPI: 1134473705
Practice Locations (4)
PROVIDENCE MEDICAL INSTITUTE
21501 AVALON BLVD, SUITE 100
CARSON, CA 907452210
3108356627
PROVIDENCE MEDICAL INSTITUTE
LAGUNA NIGUEL, CA 92677
PROVIDENCE MEDICAL INSTITUTE
1499 W 1ST ST
SAN PEDRO, CA 907323255
3108319482
PROVIDENCE MEDICAL INSTITUTE
20911 EARL ST, SUITE 220
TORRANCE, CA 905034353
3105409600
Source: CMS National Downloadable File, September 2026.