Graduated: 2003
Offers telehealth
NPI: 1245407105
Practice Locations (4)
PROVIDENCE MEDICAL INSTITUTE
GLENDALE, CA 91202
PROVIDENCE MEDICAL INSTITUTE
LAGUNA NIGUEL, CA 92677
PROVIDENCE MEDICAL INSTITUTE
520 N PROSPECT AVE
REDONDO BEACH, CA 902773033
PROVIDENCE MEDICAL INSTITUTE
1300 W 7TH ST
SAN PEDRO, CA 907323505
3103037496
Source: CMS National Downloadable File, September 2026.