Graduated: 2001
Offers telehealth
NPI: 1578574596
Practice Locations (3)
PROVIDENCE MEDICAL INSTITUTE
21501 AVALON BLVD, SUITE 100
CARSON, CA 907452210
3108356627
PROVIDENCE MEDICAL INSTITUTE
LAGUNA NIGUEL, CA 92677
PROVIDENCE MEDICAL INSTITUTE
7345 MEDICAL CTR DR, SUITE 600
WEST HILLS, CA 913071966
8183472921
Source: CMS National Downloadable File, September 2026.