Graduated: 2015
NPI: 1275980047
Practice Locations (3)
PROVIDENCE MEDICAL INSTITUTE
181 S BUENA VISTA ST
BURBANK, CA 915054504
PROVIDENCE MEDICAL INSTITUTE
21501 AVALON BLVD, SUITE 100
CARSON, CA 907452210
3108356627
PROVIDENCE MEDICAL INSTITUTE
LAGUNA NIGUEL, CA 92677
Source: CMS National Downloadable File, September 2026.