Accepts Medicare (pay less out of pocket)
Group Affiliations
Phone
(310) 548-1422
Specialty
Family Practice
Gender
M
Medical School
Other
Graduation Year
1985
Offers Telehealth Services
No
Accepts Medicare Assignment
Yes
Facility Type
Group
Group Name
PROVIDENCE MEDICAL INSTITUTEMember Count
289
Accepts Medicare Assignment
Y
Practice State: CA
Line Service Count: 31
Beneficiary Count: 11
Practice State: CA
Line Service Count: 44
Beneficiary Count: 43
Practice State: CA
Line Service Count: 35
Beneficiary Count: 33
Practice State: CA
Line Service Count: 16
Beneficiary Count: 13
Practice State: CA
Line Service Count: 17
Beneficiary Count: 15
Practice State: CA
Line Service Count: 50
Beneficiary Count: 50
Practice State: CA
Line Service Count: 56
Beneficiary Count: 56
Practice State: CA
Line Service Count: 28
Beneficiary Count: 28
Practice State: CA
Line Service Count: 78
Beneficiary Count: 78
Practice State: CA
Line Service Count: 37
Beneficiary Count: 15
621 S Butte St
San Pedro, CA 90732
-3510
Phone: (310)
548-1422
21501 Avalon Blvd
Suite 100
Carson, CA 90745
-2210
Phone: (310)
835-6627