Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1981
NPI: 1750379764
Practice Locations (4)
PROVIDENCE MEDICAL INSTITUTE
2701 W ALAMEDA AVE, SUITE 200
BURBANK, CA 915054406
8188431700
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
GLENDALE, CA 91202
Source: CMS National Downloadable File, September 2026.