Graduated: 2002
Offers telehealth
NPI: 1306136718
Practice Locations (3)
PROVIDENCE MEDICAL INSTITUTE
29525 CANWOOD ST, SUITE 300
AGOURA HILLS, CA 913014232
8187062477
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.