Medical school: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated: 1999
NPI: 1407822935
Practice Locations (6)
PROVIDENCE MEDICAL INSTITUTE
21501 AVALON BLVD, SUITE 100
CARSON, CA 907452210
3108356627
PROVIDENCE MEDICAL INSTITUTE
LAGUNA NIGUEL, CA 92677
PROVIDENCE MEDICAL INSTITUTE
2801 ATLANTIC AVE
LONG BEACH, CA 908061701
5629332000
PROVIDENCE MEDICAL INSTITUTE
18133 VENTURA BLVD, SUITE 302
TARZANA, CA 913563645
8184667770
PROVIDENCE MEDICAL INSTITUTE
18321 CLARK ST
TARZANA, CA 913563501
8188810800
PROVIDENCE MEDICAL INSTITUTE
1220 LA VENTA DR, SUITE 202
WESTLAKE VILLAGE, CA 913613750
8054490066
Source: CMS National Downloadable File, September 2026.