Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 2016
NPI: 1144673575
Practice Locations (6)
PROVIDENCE MEDICAL INSTITUTE
21501 AVALON BLVD, SUITE 100
CARSON, CA 907452210
3108356627
PROVIDENCE MEDICAL INSTITUTE
GLENDALE, CA 91202
PROVIDENCE MEDICAL INSTITUTE
LAGUNA NIGUEL, CA 92677
PROVIDENCE MEDICAL INSTITUTE
21311 MADRONA AVE
TORRANCE, CA 905035970
PROVIDENCE MEDICAL INSTITUTE
3475 TORRANCE BLVD, SUITE A
TORRANCE, CA 905035800
3103703568
PROVIDENCE MEDICAL INSTITUTE
4101 TORRANCE BLVD
TORRANCE, CA 905034607
3103037496
Source: CMS National Downloadable File, September 2026.