Graduated: 2004
NPI: 1225219066
Practice Locations (4)
PROVIDENCE MEDICAL INSTITUTE
LAGUNA NIGUEL, CA 92677
PROVIDENCE MEDICAL INSTITUTE
520 N PROSPECT AVE
REDONDO BEACH, CA 902773042
PROVIDENCE MEDICAL INSTITUTE
20911 EARL ST, SUITE 220
TORRANCE, CA 905034353
3105409600
PROVIDENCE MEDICAL INSTITUTE
4101 TORRANCE BLVD
TORRANCE, CA 905034607
3103037496
Source: CMS National Downloadable File, September 2026.