Graduated: 1977
Also: INTERNAL MEDICINE
Offers telehealth
NPI: 1255377511
Practice Locations (4)
PROVIDENCE MEDICAL INSTITUTE
201 S BUENA VISTA ST, SUITE 100
BURBANK, CA 915054570
8188486404
PROVIDENCE MEDICAL INSTITUTE
501 S BUENA VISTA ST
BURBANK, CA 915054809
8188473022
PROVIDENCE MEDICAL INSTITUTE
LAGUNA NIGUEL, CA 92677
PROVIDENCE MEDICAL INSTITUTE
2801 ATLANTIC AVE
LONG BEACH, CA 908061701
5629332000
Source: CMS National Downloadable File, September 2026.