Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1995
Also: CARDIAC ELECTROPHYSIOLOGY
Offers telehealth
NPI: 1982681227
Practice Locations (6)
PROVIDENCE MEDICAL INSTITUTE
GLENDALE, CA 91202
PROVIDENCE MEDICAL INSTITUTE
LAGUNA NIGUEL, CA 92677
PROVIDENCE MEDICAL INSTITUTE
2801 ATLANTIC AVE
LONG BEACH, CA 908061701
5629332000
PROVIDENCE MEDICAL INSTITUTE
1294 W 6TH ST, SUITE 104
SAN PEDRO, CA 907312990
3108319482
PROVIDENCE MEDICAL INSTITUTE
18321 CLARK ST
TARZANA, CA 913563501
8188810800
PROVIDENCE MEDICAL INSTITUTE
18370 BURBANK BLVD, SUITE 707
TARZANA, CA 913562830
8183455580
Source: CMS National Downloadable File, September 2026.