Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1973
Also: INTERNAL MEDICINE
Offers telehealth
NPI: 1568475044
Practice Locations (3)
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.