Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2009
NPI: 1336374958
Practice Locations (5)
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
18133 VENTURA BLVD, SUITE 302
TARZANA, CA 913563645
8184667770
PROVIDENCE MEDICAL INSTITUTE
1220 LA VENTA DR, SUITE 202
WESTLAKE VILLAGE, CA 913613750
8054490066
Source: CMS National Downloadable File, September 2026.