Medical school: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated: 1985
Offers telehealth
NPI: 1447263926
Practice Locations (4)
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
520 N PROSPECT AVE
REDONDO BEACH, CA 902773042
Source: CMS National Downloadable File, September 2026.