Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 2011
Offers telehealth
NPI: 1144511262
Practice Locations (1)
PROVIDENCE MEDICAL INSTITUTE
4201 TORRANCE BLVD, SUITE 260
TORRANCE, CA 905034534
4242125333
Source: CMS National Downloadable File, September 2026.