Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1981
Also: INTERNAL MEDICINE
Offers telehealth
NPI: 1891888327
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
LAGUNA NIGUEL, CA 92677
PROVIDENCE MEDICAL INSTITUTE
2801 ATLANTIC AVE
LONG BEACH, CA 908061701
5629332000
PROVIDENCE MEDICAL INSTITUTE
2121 SANTA MONICA BLVD
SANTA MONICA, CA 904042303
3105827450
Source: CMS National Downloadable File, September 2026.