Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2022
Offers telehealth
NPI: 1902546856
Practice Locations (4)
PROVIDENCE MEDICAL INSTITUTE
29525 CANWOOD ST, SUITE 300
AGOURA HILLS, CA 913014232
8187062477
PROVIDENCE MEDICAL INSTITUTE
21501 AVALON BLVD, SUITE 100
CARSON, CA 907452210
3108356627
PROVIDENCE MEDICAL INSTITUTE
GLENDALE, CA 91202
PROVIDENCE MEDICAL INSTITUTE
7345 MEDICAL CTR DR, SUITE 600
WEST HILLS, CA 913071966
8183472921
Source: CMS National Downloadable File, September 2026.