Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2010
Also: SPORTS MEDICINE
NPI: 1902127384
Practice Locations (7)
PROVIDENCE MEDICAL INSTITUTE
LAGUNA NIGUEL, CA 92677
PROVIDENCE MEDICAL INSTITUTE
2801 ATLANTIC AVE
LONG BEACH, CA 908061701
5629332000
PROVIDENCE MEDICAL INSTITUTE
11550 INDIAN HLS, SUITE 300
MISSION HILLS, CA 913451203
8184036337
PROVIDENCE MEDICAL INSTITUTE
15031 RINALDI ST
MISSION HILLS, CA 913451207
8184964777
PROVIDENCE MEDICAL INSTITUTE
11550 INDIAN HILLS RD, SUITE 381
MISSION HILLS, CA 913451252
8183610917
PROVIDENCE MEDICAL INSTITUTE
18321 CLARK ST
TARZANA, CA 913563501
8188810800
PROVIDENCE MEDICAL INSTITUTE
18133 VENTURA BLVD, SUITE 302
TARZANA, CA 913563645
8184667770
Source: CMS National Downloadable File, September 2026.