Graduated: 2006
NPI: 1508009655
Practice Locations (3)
PROVIDENCE MEDICAL INSTITUTE
201 S BUENA VISTA ST, SUITE 100
BURBANK, CA 915054570
8188486404
PROVIDENCE MEDICAL INSTITUTE
501 S BUENA VISTA ST
BURBANK, CA 915054809
8188473022
PROVIDENCE MEDICAL INSTITUTE
LAGUNA NIGUEL, CA 92677
Source: CMS National Downloadable File, September 2026.