Medical school: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated: 2000
Offers telehealth
NPI: 1255352852
Practice Locations (1)
PROVIDENCE MEDICAL INSTITUTE
20911 EARL ST, SUITE 440
TORRANCE, CA 905034355
3104198585
Source: CMS National Downloadable File, September 2026.