Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1979
Also: INTERNAL MEDICINE
Offers telehealth
NPI: 1568558245
Practice Locations (5)
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
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
Source: CMS National Downloadable File, September 2026.