Medical school: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1973
Also: INTERNAL MEDICINE
Offers telehealth
NPI: 1902817901
Practice Locations (3)
PROVIDENCE MEDICAL INSTITUTE
LAGUNA NIGUEL, CA 92677
PROVIDENCE MEDICAL INSTITUTE
2801 ATLANTIC AVE
LONG BEACH, CA 908061701
5629332000
PROVIDENCE MEDICAL INSTITUTE
7345 MEDICAL CTR DR, SUITE 600
WEST HILLS, CA 913071966
8183472921
Source: CMS National Downloadable File, September 2026.