Graduated: 2001
Offers telehealth
NPI: 1295787638
Practice Locations (5)
PROVIDENCE MEDICAL INSTITUTE
21501 AVALON BLVD, SUITE 100
CARSON, CA 907452210
3108356627
PROVIDENCE MEDICAL INSTITUTE
GLENDALE, CA 91202
PROVIDENCE MEDICAL INSTITUTE
LAGUNA NIGUEL, CA 92677
PROVIDENCE MEDICAL INSTITUTE
1300 W 7TH ST
SAN PEDRO, CA 907323505
3103037496
PROVIDENCE MEDICAL INSTITUTE
21311 MADRONA AVE
TORRANCE, CA 905035970
Source: CMS National Downloadable File, September 2026.