Medical school: GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduated: 2018
Offers telehealth
NPI: 1417440199
Practice Locations (1)
PROVIDENCE MEDICAL INSTITUTE
5215 TORRANCE BLVD, SUITE 120
TORRANCE, CA 905034009
3103703568
Source: CMS National Downloadable File, September 2026.