Medical school: TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Graduated: 1999
Offers telehealth
NPI: 1972515823
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.