Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2007
NPI: 1255531182
Practice Locations (7)
PROVIDENCE MEDICAL INSTITUTE
LAGUNA NIGUEL, CA 92677
PROVIDENCE MEDICAL INSTITUTE
11550 INDIAN HILLS RD, SUITE 381
MISSION HILLS, CA 913451252
8183610917
PROVIDENCE MEDICAL INSTITUTE
11550 INDIAN HLS, SUITE 300
MISSION HILLS, CA 913451203
8184036337
PROVIDENCE MEDICAL INSTITUTE
15031 RINALDI ST
MISSION HILLS, CA 913451207
8184964777
PROVIDENCE MEDICAL INSTITUTE
18133 VENTURA BLVD, SUITE 302
TARZANA, CA 913563645
8184667770
PROVIDENCE MEDICAL INSTITUTE
18321 CLARK ST
TARZANA, CA 913563501
8188810800
PROVIDENCE MEDICAL INSTITUTE
7301 MEDICAL CTR DR, SUITE 400
WEST HILLS, CA 913071988
8182643344
Source: CMS National Downloadable File, September 2026.