Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1994
Also: HAND SURGERY
NPI: 1225065659
Practice Locations (3)
PROVIDENCE MEDICAL INSTITUTE
GLENDALE, CA 91202
PROVIDENCE MEDICAL INSTITUTE
11550 INDIAN HILLS RD, SUITE 261
MISSION HILLS, CA 913451244
8184967740
PROVIDENCE MEDICAL INSTITUTE
15031 RINALDI ST
MISSION HILLS, CA 913451207
8184964777
Source: CMS National Downloadable File, September 2026.