Graduated: 1991
Offers telehealth
NPI: 1982701355
Practice Locations (5)
PROVIDENCE MEDICAL INSTITUTE
21501 AVALON BLVD, SUITE 100
CARSON, CA 907452210
3108356627
PROVIDENCE MEDICAL INSTITUTE
GLENDALE, CA 91202
4000 PALOS VERDES DR N, SUITE 104
ROLLING HILLS ESTATES, CA 902742531
4000 PALOS VERDES N DR, SUITE 104
ROLLING HILLS ESTATES, CA 902742531
3103737310
PROVIDENCE MEDICAL INSTITUTE
4201 TORRANCE BLVD, SUITE 560
TORRANCE, CA 905034583
3102125360
Source: CMS National Downloadable File, September 2026.