Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 2018
NPI: 1407353600
Practice Locations (4)
PROVIDENCE MEDICAL INSTITUTE
GLENDALE, CA 91202
PROVIDENCE MEDICAL INSTITUTE
1300 W 7TH ST
SAN PEDRO, CA 907323505
3103037496
PROVIDENCE MEDICAL INSTITUTE
3475 TORRANCE BLVD, SUITE A
TORRANCE, CA 905035800
3103703568
PROVIDENCE MEDICAL INSTITUTE
4101 TORRANCE BLVD
TORRANCE, CA 905034607
3103037496
Source: CMS National Downloadable File, September 2026.