Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1997
Also: INTERNAL MEDICINE
Offers telehealth
NPI: 1699752956
Practice Locations (1)
PROVIDENCE MEDICAL INSTITUTE
18370 BURBANK BLVD, SUITE 701
TARZANA, CA 913562823
8183455580
Source: CMS National Downloadable File, September 2026.