Medical school: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated: 1995
Also: INTERNAL MEDICINE
Offers telehealth
NPI: 1508827718
Practice Locations (3)
PROVIDENCE MEDICAL INSTITUTE
501 S BUENA VISTA ST
BURBANK, CA 915054809
8188473022
PROVIDENCE MEDICAL INSTITUTE
LAGUNA NIGUEL, CA 92677
PROVIDENCE MEDICAL INSTITUTE
2121 SANTA MONICA BLVD
SANTA MONICA, CA 904042303
3105827450
Source: CMS National Downloadable File, September 2026.