Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 2012
Offers telehealth
NPI: 1215296348
Practice Locations (2)
PROVIDENCE MEDICAL INSTITUTE
181 S BUENA VISTA ST, FL 4
BURBANK, CA 915054504
8188400921
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
2121 SANTA MONICA BLVD
SANTA MONICA, CA 904042303
3108295511
Source: CMS National Downloadable File, September 2026.