Graduated: 2011
NPI: 1831487271
Practice Locations (2)
PROVIDENCE HEALTHCARE PARTNERS INC
4445 MAGNOLIA AVE
RIVERSIDE, CA 925014135
9517883000
SAN PEDRO HOSPITALIST MEDICAL GROUP INC
1300 W 7TH ST
SAN PEDRO, CA 907323505
3108323311
Source: CMS National Downloadable File, September 2026.