Graduated: 2021
NPI: 1386225316
Practice Locations (10)
PROVIDENCE MEDICAL INSTITUTE
21501 AVALON BLVD, SUITE 100
CARSON, CA 907452210
3108356627
PROVIDENCE MEDICAL INSTITUTE
GLENDALE, CA 91202
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
10250 SANTA MONICA BLVD, SUITE 2440
LOS ANGELES, CA 900676469
3102860122
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
23815 STUART RANCH RD
MALIBU, CA 902654861
PROVIDENCE MEDICAL INSTITUTE
1010 N SEPULVEDA BLVD
MANHATTAN BEACH, CA 902665929
3103766262
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
4560 ADMIRALTY WAY, SUITE 100
MARINA DEL REY, CA 902925424
3108273700
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
2020 SANTA MONICA BLVD, SUITE 210
SANTA MONICA, CA 904042139
3104582381
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
2424 WILSHIRE BLVD
SANTA MONICA, CA 904035806
3108284530
PROVIDENCE MEDICAL INSTITUTE
2382 CRENSHAW BLVD, SUITE 5
TORRANCE, CA 905013333
3106189200
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
6344 TOPANGA CANYON BLVD, SUITE 2040
WOODLAND HILLS, CA 913672362
8186100292
Source: CMS National Downloadable File, September 2026.