Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 2022
Also: INTERNAL MEDICINE
NPI: 1316696453
Practice Locations (3)
PROVIDENCE MEDICAL INSTITUTE
GLENDALE, CA 91202
PROVIDENCE MEDICAL INSTITUTE
4101 TORRANCE BLVD
TORRANCE, CA 905034607
3103037496
PERMANENTE MEDICAL GROUP INC
1 QUALITY DR
VACAVILLE, CA 956889494
7076244000
Source: CMS National Downloadable File, September 2026.