providence little company of mary medical center san pedro ... · 1700 e. cesar chavez ave. #3500...

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Providence Little Company of Mary Medical Center San Pedro Medical Staff Roster Updated November 2, 2020 Name Address Status Abbas, Syed W., MD Teleneurology 800 5th Ave. Ste 900 Seattle, WA 98104 Tel: (206) 425-3183 Fax: (206) 829-4957 Limited Abdelkarim, Murrad J., MD Cardiology Providence Medical Institute of Little Company of Mary 3475 Torrance Blvd., #A Torrance, CA 90503 Tel: (310) 370-3568 Fax: (310) 540-0676 Courtesy Abdelmalak, Farid K., MD Internal Medicine UCLA Medical Center 1250 16th St. #C2304 760 Westwood Plaza, #C8-193 Santa Monica, CA 90404 Tel: (310) 319-4698 Fax: (310) 206-3260 Courtesy Ade, Jennifer R., LCSW LPS Holds (5150) LCSW Bridges 1300 W. 7th St. Bridges San Pedro, CA 90732 Tel: (310) 514-5359 Fax: (310) 514-5432 Allied Health Professional Afrooz, Iman, MD Hospitalist Internal Medicine Providence Medical Institute 1294 W. 6th St # 104 San Pedro, CA 90732 Tel: (310) 548-9118 Fax: (310) 548-1310 Provisional Agarwal, Deepak, DO Anesthesiology Professional Anesthesia Associates P.O. Box 6878 San Pedro, CA 90734 Tel: Fax: Provisional Ahangar, Brian A., MD Physical Med & Rehab Kaiser Permanente South Bay 25821 S. Vermont St. Harbor City, CA 90710 Tel: (424) 251-7233 Fax: (424) 251-7302 Courtesy Ahmed, Faisal A., MD Urology Advanced Urology Medical Offices 510 N. Prospect Ave. Suite 115 Redondo Beach, CA 90277 Tel: (310) 670-9119 Fax: (310) 670-7275 Courtesy Ahmed, Khaja R., MD Nephrology Internal Medicine 20911 Earl St., #380 Torrance, CA 90503 Tel: (424) 390-4035 Fax: (424) 390-4107 Courtesy Akopov, Sergey E., MD Teleneurology Providence Teleneurology 501 S. Buena Vista St. Burbank, CA 91505 Tel: (818) 847-6049 Fax: (818) 847-4842 Limited Ali, Ehsan, MD Hospitalist Internal Medicine Optum 3330 Lomita Blvd. Optum 1st Floor Torrance, CA 90505 Tel: (310) 214-0811 Fax: (310) 784-4994 Courtesy Aly, Omar, MD Internal Medicine UCLA Hospitalist Service 1250 16th Street #C2304 Santa Monica, CA 90404 Tel: (310) 319-4698 Fax: (310) 206-3260 Courtesy

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Page 1: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Name Address Status Abbas, Syed W., MD

Teleneurology

800 5th Ave. Ste 900

Seattle, WA 98104 Tel: (206) 425-3183

Fax: (206) 829-4957

Limited

Abdelkarim, Murrad J., MD

Cardiology

Providence Medical Institute of Little Company of Mary

3475 Torrance Blvd., #A

Torrance, CA 90503

Tel: (310) 370-3568

Fax: (310) 540-0676

Courtesy

Abdelmalak, Farid K., MD

Internal Medicine

UCLA Medical Center

1250 16th St. #C2304

760 Westwood Plaza, #C8-193

Santa Monica, CA 90404

Tel: (310) 319-4698

Fax: (310) 206-3260

Courtesy

Ade, Jennifer R., LCSW

LPS Holds (5150)

LCSW

Bridges

1300 W. 7th St.

Bridges San Pedro, CA 90732

Tel: (310) 514-5359

Fax: (310) 514-5432

Allied Health

Professional

Afrooz, Iman, MD

Hospitalist

Internal Medicine

Providence Medical Institute

1294 W. 6th St # 104

San Pedro, CA 90732

Tel: (310) 548-9118

Fax: (310) 548-1310

Provisional

Agarwal, Deepak, DO

Anesthesiology

Professional Anesthesia Associates

P.O. Box 6878

San Pedro, CA 90734

Tel:

Fax:

Provisional

Ahangar, Brian A., MD

Physical Med & Rehab

Kaiser Permanente South Bay

25821 S. Vermont St.

Harbor City, CA 90710 Tel: (424) 251-7233

Fax: (424) 251-7302

Courtesy

Ahmed, Faisal A., MD

Urology

Advanced Urology Medical Offices

510 N. Prospect Ave. Suite 115

Redondo Beach, CA 90277

Tel: (310) 670-9119

Fax: (310) 670-7275

Courtesy

Ahmed, Khaja R., MD

Nephrology

Internal Medicine

20911 Earl St., #380

Torrance, CA 90503

Tel: (424) 390-4035

Fax: (424) 390-4107

Courtesy

Akopov, Sergey E., MD

Teleneurology

Providence Teleneurology

501 S. Buena Vista St.

Burbank, CA 91505

Tel: (818) 847-6049 Fax: (818) 847-4842

Limited

Ali, Ehsan, MD

Hospitalist

Internal Medicine

Optum

3330 Lomita Blvd. Optum 1st Floor

Torrance, CA 90505

Tel: (310) 214-0811

Fax: (310) 784-4994

Courtesy

Aly, Omar, MD

Internal Medicine

UCLA Hospitalist Service

1250 16th Street #C2304 Santa Monica, CA 90404

Tel: (310) 319-4698

Fax: (310) 206-3260

Courtesy

Page 2: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Ambe, Shama, MD

Neonatology

Pediatrix Medical Group, Inc.

4101 Torrance Blvd. NICU DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-6318

Fax: (310) 303-5871

Courtesy

Amin, Shefalee, MD

Hospitalist

Pulmonary/Critical Care

Optum

3330 W. Lomita Blvd - Optum 1st Fl.

Torrance, CA 90505

Tel: (310) 214-0811 Fax: (310) 784-4991

Courtesy

Andersen, Gretchen J., PAC

Physician Assistant

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept

Long Beach, CA 90813

Tel: (562) 491-9762

Fax: (562) 491-9264

Allied Health

Professional

Andersen, Kristen N., MD

Pediatrics

Providence Medical Associates

21311 Madrona Ave. Suite 100B Torrance, CA 90503

Tel: (310) 540-1334

Fax: (310) 540-7615

Provisional

Anees, Muhammad A., MD

Psychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Provisional

Arias, Ai-Li W., MD

Telepsychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Limited

Arnstein, Michael R., MD

Plastic Surgery

22930 Crenshaw Blvd., #D

Torrance, CA 90505

Tel: (310) 530-4200 Fax: (310) 530-1562

Active

Arora, Ripu D., MD

Pain Management

22910 Crenshaw Blvd., #A

Torrance, CA 90505

Tel: (310) 530-3595

Fax: (310) 530-2906

Courtesy

Arshad, Junaid, MD

Hematology/Oncology

The Oncology Institute of Hope and Innovation

18000 Studebaker Rd #800 Cerritos, CA 90703

Tel: (562) 735-3226

Fax: (562) 334-1567

Provisional

Askari, Asghar, MD

Urology

1360 W. 6th St., #184

San Pedro, CA 90732

Tel: (310) 519-9180

Fax: (310) 519-0225

Active

Askari, Reza, MD

Obstetrics and Gynecology

Providence Medical Associates

20911 Earl St, Suite 440

Torrance, CA 90503

Tel: (310) 419-8585

Fax: (310) 419-8583

Active

Asuma (Bumatay), Vilma, R.N.

LPS Holds (5150)

Psychiatry

1300 W. 7th St - Bridges Unit

San Pedro, CA 90732

Tel: (310) 514-5359

Fax: (310) 514-5432

Allied Health

Professional

Atamdede, Fikret I., MD

Gynecology Oncology

Gynecology

23600 Telo Ave., #250

Torrance, CA 90505

Tel: (310) 375-8446

Fax: (310) 375-8489

Active

Page 3: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Atkinson, Benjamin E., MD

Teleneurology Neurology

Providence Health & Services - Telehealth

800 5th Avenue #900 ATTN: Telehealth Licensing & Credentialing Consultant

Seattle, WA 98104

Tel: (425) 525-5932

Fax: (206) 829-4957

Limited

Austin, Soledad D., MD

Neonatology

Pediatrix Medical Group, Inc.

4101 Torrance Blvd.

NICU DEPARTMENT

Torrance, CA 90503 Tel: (310) 303-6318

Fax: (310) 316-9275

Courtesy

Azadi, Nazanin, MD

Cardiology

Providence Medical Institute

3475 Torrance Blvd., #A

Torrance, CA 90503

Tel: (310) 370-3568

Fax: (310) 540-0676

Courtesy

Azam, Salman M., MD Interventional Cardiology

Cardiology

COR Healthcare Medical Associates 2841 Lomita Blvd. Suite 100

Torrance, CA 90505

Tel: (310) 257-0508

Fax: (310) 325-8109

Courtesy

Baghai, Mercedeh, MD

General Surgery

510 N Prospect Ave. Suite 115

Redondo Beach, CA 90277

Tel: (310) 602-5002

Fax: (310) 325-9105

Active

Bailey, Joselyn E., MD

Nephrology

Internal Medicine

4305 Torrance Blvd., #506

Torrance, CA 90503

Tel: (310) 542-7341

Fax: (310) 542-7343

Courtesy

Bandari, Bahman, MD

Internal Medicine

Providence Medical Associates

12618 Hawthorne Blvd.,

Hawthorne, CA 90250

Tel: (310) 263-5700 Fax: (310) 261-5771

Provisional

Banigo, May L., MD

Anesthesiology

PO Box 1104

Palos Verdes Estates, CA 90274

Tel:

Fax:

Provisional

Banka, Gaurav, MD

Cardiology

COR Healthcare Medical Associates

2841 Lomita Blvd. Suite 100 Torrance, CA 90505

Tel: (310) 257-0508

Fax: (310) 325-8109

Courtesy

Banta, Warren, MD

Hematology/Oncology

Hematology Oncology Specialists

1700 E. Cesar Chavez Ave. #3500

Los Angeles, CA 90033

Tel: (323) 264-0430

Fax: (323) 264-2354

Provisional

Banuelos, Lydia R., MD

Ophthalmology

Atlantis Eyecare

947 S. Anaheim Blvd., #120

Anaheim, CA 92805

Tel: (714) 821-4666

Fax: (714) 533-6800

Courtesy

Barkhoudarian, Garni, MD

Neurosurgery

Pacific Neuroscience Institute Brain Tumor @ John Wayne Cancer Institute

2200 Santa Monica Blvd.

Santa Monica, CA 90404 Tel: (310) 582-7450

Fax: (310) 582-7495

Courtesy

Bauer, Brenton S., MD

Cardiology

Internal Medicine

2841 Lomita Blvd. #100

Torrance, CA 90505

Tel: (310) 257-0508

Fax: (310) 325-8109

Provisional

Page 4: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Bautista, Salve R., NP

Nurse Practitioner, Palliative Care

PLCMMCT - Palliative Care

4101 Torrance Blvd. PALLIATIVE CARE DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-6842

Fax: (310) 303-5574

Provisional

AHP

Bell, Timothy V., MD

TeleRadiology

Radiology

Rad-Image Medical Group

2651 Walnut Avenue

Signal Hill, CA 90755

Tel: (562) 912-2507 Fax: (484) 918-2507

Limited

Beltagy, Abdelrahman F., MD

Teleneurology

1321 Colby Ave.

Everett, WA 98201

Tel: (425) 261-4076

Fax: (425) 261-4078

Limited

Beltran, Antonio, MD

Pulmonary Disease

So.California Intensivists & Pulmonoligist Nework

3605 Long Beach Blvd. #405

Long Beach, CA 90807 Tel: (562) 424-8000

Fax: (562) 424-8006

Active

Benjamin, Rudo, MD

Hospitalist

Internal Medicine

Providence Medical Associates

4101 Torrance Blvd.

PMA DEPARTMENT

Torrance, CA 90503

Tel: (310) 374-8191

Fax: (310) 303-6834

Courtesy

Berman, Madhu, MD

Allergy and Immunology

Pediatrics

29000 Western Ave., #200

Rancho Palos Verdes, CA 90275

Tel: (310) 833-1334

Fax: (310) 833-0270

Courtesy

Bharatiya, Saroj, MD

Hospitalist

Internal Medicine

Providence Medical Associates

4101 Torrance Blvd.

PMA DEPARTMENT

Torrance, CA 90503 Tel: (310) 374-8191

Fax: (310) 303-6834

Courtesy

Bhatt, Archit C., MD

Teleneurology

Neurology

Providence Medical Group

5050 NE Hoyt St., STE 315

Portland, OR 97225

Tel: (503) 216-1150

Fax: (503) 215-8585

Limited

Bhayani, Neil H., MD

General Surgery

Association of South Bay Surgeons

23451 Madison St. #340

Torrance, CA 90505

Tel: (310) 373-6864

Fax: (310) 373-6065

Active

Bowman, Bryan W., NP

Nurse Practitioner

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept

Long Beach, CA 90813 Tel: (562) 491-9762

Fax: (562) 491-9264

Allied Health

Professional

Boyd, John B., MD

Plastic Surgery

550 Deep Valley Drive Suite 283

Rolling Hills Estates, CA 90274

Tel: (310) 295-2287

Fax: (310) 606-2047

Courtesy

Brady, Vivian M., PA

Physician Assistant Emergency Medicine

Long Beach Emergency Medical Group

1300 West 7th Street Emergency Department, Box #19

San Pedro, CA 90732

Tel: (310) 514-5350

Fax: (310) 548-6409

Provisional

AHP

Page 5: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Brandal, Garth B., MD

Interventional Radiology Neuroradiology

Advanced Imaging of the South Bay, Inc.

4101 Torrance Blvd. IMAGING DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-5750

Fax: (310) 316-2364

Provisional

Brenneman, Gayne M., MD

Anesthesiology

Integrated Anesthesia Medical Group

898 N. Pacific Coast Hwy, Suite 600

El Segundo, CA 90245

Tel: (310) 698-5452 Fax: (310) 379-4856

Leave of

Absence

Brevig, Ryan D., MD

Hospitalist

Internal Medicine

Optum

3330 Lomita Blvd., Optum 1st Fl.

Torrance, CA 90505

Tel: (310) 214-0811

Fax: (310) 784-4991

Courtesy

Bridges, Amber N., MD

Psychiatry

Vituity

2100 Powell St. #900 Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Provisional

Brizuela, Arnold A., MD

Neurology

1360 W. 6th St., Suite 350

San Pedro, CA 90732

Tel: (310) 832-6428

Fax: (310) 832-5178

Provisional

Brown, Lorenzo S., MD

Otolaryngology

103 S. Locust St.

Inglewood, CA 90301

Tel: (310) 412-3277

Fax: (310) 412-3223

Courtesy

Browne, Tarah B., DO

Family Medicine

Kaiser Permanente South Bay

25821 S. Vermont Avenue

Physical Med/Rehab Dept

Harbor City, CA 90710

Tel: (424) 251-7000 Fax: (424) 251-7301

Courtesy

Brust, James S., MD

Psychiatry

2403 Moray Ave., #4

San Pedro, CA 90732

Tel: (310) 832-7943

Fax: (310) 514-8017

Active

Bui, Patrick L., MD

Hospitalist Internal Medicine

UCLA Health Southbay Hospitalists

1250 16th St. Suite A454 Santa Monica, CA 90404

Tel: (310) 319-4698

Fax: (310) 319-4908

Courtesy

Bunnell, Mitchell J., DO

Internal Medicine

Optum

3330 W. Lomita Blvd - Optum 1st Fl.

Torrance, CA 90505

Tel: (310) 214-0811

Fax: (310) 784-4991

Provisional

Calliham, Kevin E., LCSW

LPS Holds (5150)

LCSW

Bridges

1300 W. 7th St.

San Pedro, CA 90732

Tel: (310) 514-5359

Fax: (310) 514-5432

Provisional

AHP

Calof, Olga M., MD

Endocrinology

Internal Medicine

Providence Medical Associates

1499 West 1st Street

San Pedro, CA 90732 Tel: (310) 831-9482

Fax: (310) 241-2510

Courtesy

Cam, Vinh T., MD

Nephrology

Internal Medicine

Internal Medicine & Nephrology Medical Group, Inc.

3291 Skypark Dr.

Torrance, CA 90505

Tel: (310) 325-4517

Fax: (310) 325-1144

Courtesy

Page 6: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Camel, James E., MD

General Surgery

Association of South Bay Surgeons

23451 Madison St. #340 Torrance, CA 90505

Tel: (310) 373-6864

Fax: (310) 373-6065

Active

Cao, Bin, MD

Physical Med & Rehab

Kaiser Permanente South Bay

25825 S. Vermont Ave - Physical Med/Rehab

Harbor City, CA 90710

Tel: (424) 251-7000

Fax: (424) 251-7301

Courtesy

Cao, David K., DO

Hospitalist

Internal Medicine

Optum

3330 Lomita Blvd., Optum 1st Fl.

Torrance, CA 90505

Tel: (310) 214-0811

Fax: (310) 784-4991

Courtesy

Castillo, Aja D., NP

Nurse Practitioner

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept

Long Beach, CA 90813 Tel: (562) 491-9762

Fax: (562) 491-9264

Allied Health

Professional

Castleman, Eric J., MD

Cardiology

Internal Medicine

COR Healthcare Medical Associates

2841 Lomita Blvd. Suite 100

Torrance, CA 90505

Tel: (310) 257-0508

Fax: (310) 325-8109

Courtesy

Chan, John, MD

Hospitalist

Internal Medicine

Optum

3330 Lomita Blvd., Optum 1st Fl.

Torrance, CA 90505

Tel: (310) 325-9110

Fax: (310) 784-4991

Active

Chan, Sripha O., MD

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave -ED Dept

Long Beach, CA 90813

Tel: (562) 491-9762 Fax: (562) 491-9264

Active

Chandak, Twinkle, MD

Pulmonary Disease

Critical Care Medicine

So.California Intensivists & Pulmonoligist Nework

3605 Long Beach Blvd. #405

Long Beach, CA 90807

Tel: (562) 424-8000

Fax: (562) 424-8006

Active

Chandran, Deepti H., MD Hospitalist

Internal Medicine

Providence Medical Associates 1300 W 7th St.

San Pedro, CA 90732

Tel: (310) 241-4069

Fax: (310) 514-4330

Active

Chandran, Rama E., MD

Orthopedic Surgery

4201 Torrance Blvd., #310

Torrance, CA 90503

Tel: (310) 644-1151

Fax: (310) 644-3115

Courtesy

Chandran, Shaun E., MD

Orthopedic Surgery

4201 Torrance Blvd., #310

Torrance, CA 90503

Tel: (310) 644-1151

Fax: (310) 644-3115

Active

Chang, Allen, DO

Hospitalist

Internal Medicine

Optum

3330 Lomita Blvd. Optum 1st Floor

Torrance, CA 90505

Tel: (310) 214-0811 Fax: (310) 784-4994

Courtesy

Chang, Marvin J., MD

Internal Medicine

Hospitalist

Optum

3330 Lomita Blvd., Optum 1st Fl.

Torrance, CA 90505

Tel: (310) 325-9110

Fax: (310) 784-4991

Courtesy

Page 7: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Chao, Derek H., MD

Hospitalist Nephrology

Optum

3330 Lomita Blvd., Optum 1st Fl. Torrance, CA 90505

Tel: (310) 214-0811

Fax: (310) 784-4991

Courtesy

Chauhan-James, Jaimini, MD

Psychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Limited

Chen, Weip, MD

Internal Medicine

Hospitalist

Providence Medical Associates

4101 Torrance Blvd.

PMA DEPARTMENT

Torrance, CA 90503

Tel: (310) 374-8191

Fax: (310) 303-6834

Courtesy

Chen, Xi, MD

Hospitalist Internal Medicine

Optum

3330 Lomita Blvd., Optum 1st Fl. Torrance, CA 90505

Tel: (310) 325-9110

Fax: (310) 784-4991

Courtesy

Cheng, Ling, MD

Geriatric Medicine

Kaiser Permanente

25825 S. Vermont Avenue

Harbor City, CA 90710

Tel: (424) 251-7785

Fax: (424) 251-7523

Limited

Chhabra, Ankush K., MD

Cardiology

COR Healthcare Medical Associates

2841 Lomita Blvd. Suite 100

Torrance, CA 90505

Tel: (310) 257-0508

Fax: (310) 325-8109

Courtesy

Chia, John K., MD

Infectious Disease

Internal Medicine

ID Med, A Medical Corporation

23430 Hawthorne Blvd., Suite 200

Torrance, CA 90505 Tel: (310) 784-5880

Fax: (310) 325-3117

Active

Chin, Katherine A., MD

Physical Med & Rehab

Kaiser Permanente South Bay

25821 S. Vermont Avenue

Physical Med/Rehab Dept

Harbor City, CA 90710

Tel: (424) 251-7283

Fax: (424) 251-7301

Courtesy

Chitamitara, Pitchaya P., MD

Pediatrics

Providence Medical Institutue

1294 W. 6th St. #104

San Pedro, CA 90732

Tel: (310) 548-9118

Fax: (310) 548-1310

Courtesy

Cho, Sandy S., MD

Hospitalist Internal Medicine

Providence Medical Associates

4101 Torrance Blvd. PMA DEPARTMENT

Torrance, CA 90503

Tel: (310) 374-8191

Fax: (310) 303-6834

Courtesy

Choi, Justin Y., MD

Internal Medicine

Optum

3330 W. Lomita Blvd - Optum 1st Fl.

Torrance, CA 90505

Tel: (310) 214-0811

Fax: (310) 784-4991

Courtesy

Chu, James M., MD

Pediatric Cardiology

Pediatrix Cardiology of Orange

1010 W. LaVeta Ave. Suite 575

Orange, CA 92868

Tel: (714) 547-0900

Fax: (714) 547-2080

Courtesy

Page 8: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Chung, Bonny, MD

Family Medicine

Kaiser Permanente South Bay

25975 S. Normandie Ave - Cont Care Harbor City, CA 90710

Tel: (424) 251-7551

Fax: (424) 251-7552

Provisional

Chung, David S., MD

Gastroenterology

Internal Medicine

Digestive Care Consultants

23451 Madison St., #290

Torrance, CA 90505

Tel: (310) 375-1246

Fax: (310) 802-6073

Active

Chung, Helen, MD

Physical Med & Rehab

Kaiser Permanente South Bay

25821 S. Vermont Ave. Physical Med/Rehab Dept

Harbor City, CA 90710

Tel: (424) 251-7244

Fax: (424) 251-7302

Courtesy

Chung, Lisa A., MD

Internal Medicine

Optum

3330 Lomita Blvd., Optum 1st Fl.

Torrance, CA 90505 Tel: (310) 214-0811

Fax: (310) 784-4991

Courtesy

Chung, Michael S., MD

Hematology and Medical Oncology

Internal Medicine

18000 Studebaker Road

Suite 800

Cerritos, CA 90703

Tel: (562) 735-3226

Fax: (562) 869-1281

Courtesy

Chung, Philip W., MD

Nephrology

Internal Medicine

Internal Medicine & Nephrology Medical Group, Inc.

3291 Skypark Dr.

Torrance, CA 90505

Tel: (310) 325-4517

Fax: (310) 325-1144

Courtesy

Chung, Sean S., MD

Hospitalist

Internal Medicine

Optum

1300 W. 7th St.,Optum, Box #65

San Pedro, CA 90732

Tel: (310) 241-4038 Fax: (310) 514-5419

Active

Ciarolla, Anthony A., MD

Hematology/Oncology

23530 Hawthorne Blvd., #260

Torrance, CA 90505

Tel: (424) 255-1263

Fax: (424) 255-4085

Provisional

Claude, Hebert, DO

Hospitalist Internal Medicine

Providence Medical Associates

4101 Torrance Blvd. PMA DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-6833

Fax: (310) 303-6834

Courtesy

Coffee, Dennis R., MD

Psychiatry

471 W. 7th St.

San Pedro, CA 90731

Tel: (310) 832-6491

Fax: (310) 833-1024

Courtesy

Cohen, Jerome D., MD

Gastroenterology

Internal Medicine

South Bay Gastroenterology Medical Group

23456 Hawthorne Blvd. Suite 300

Torrance, CA 90505

Tel: (310) 539-2055

Fax: (310) 539-0199

Courtesy

Correa, Vanessa, MD

Internal Medicine

Pulmonary/Critical Care

Optum

3330 W. Lomita Blvd - Optum 1st Fl.

Torrance, CA 90505 Tel: (310) 214-0811

Fax: (310) 784-4991

Provisional

Costa, Mary A., NP

Nurse Practitioner

Emergency Medicine

Long Beach Emergency Medical Group

1300 W. 7th - ED Dept

San Pedro, CA 90732

Tel: (310) 514-5350

Fax: (310) 548-6409

Allied Health

Professional

Page 9: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Cox II, Emmett, MD

Orthopedic Surgery

1360 W. 6th St., #245

San Pedro, CA 90732 Tel: (310) 519-3146

Fax: (310) 519-8864

Courtesy

Cummins, Kate, PsyD

Clinical Psychology

Psychology

2403 S. Moray Ave., #4

San Pedro, CA 90731

Tel: (415) 748-0972

Fax: (310) 514-5374

Allied Health

Professional

Cunningham, Carol Lynn W., NP Nurse Practitioner

Emergency Medicine

Long Beach Emergency Medical Group 1050 Linden Ave - ED Dept.

Long Beach, CA 90813

Tel: (562) 491-9762

Fax: (562) 491-9264

Allied Health Professional

Curran, Emily B., MD

Pediatrics

Pediatrics

Providence Medical Institute of Little Company of Mary

3475 Torrance Blvd., #A

Torrance, CA 90503

Tel: (310) 370-3568

Fax: (310) 540-0676

Courtesy

Curran, Katherine A., NP

Nurse Practitioner

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept

Long Beach, CA 90813

Tel: (562) 491-9762

Fax: (562) 491-9264

Provisional

AHP

Czartoski, Todd J., MD

Teleneurology Neurology

550 17th Ave., Suite 500

Seattle, WA 98122 Tel: (206) 320-2208

Fax: (206) 320-2451

Limited

Dahlberg, Patricia V., CPNP

Nurse Practitioner

Emergency Medicine

1300 W. 7th St - Partners Health Kids Van

San Pedro, CA 90732

Tel: (310) 514-5465

Fax: (310) 514-5478

Allied Health

Professional

Dalal, Rooshin B., MD

Radiology

P.O. Box 2131

Palos Verdes Peninsula, CA 90274 Tel:

Fax: (844) 643-4281

Membership

Only

Dandamudi, Venkata, MD

Teleneurology

Virtual Medical Staff

2655 Northwinds Parkway

Alpharetta, GA 30009

Tel: (877) 732-7089

Fax: (404) 751-5297

Limited

Dang, Binh N., MD

Hospitalist

Internal Medicine

Providence Medical Associates

1300 W 7th St.

San Pedro, CA 90732

Tel: (310) 514-5401

Fax: (310) 514-4330

Active

Dang, Lisa H., MD

Ophthalmology

Retina Institute of California

14501 Magnolia St., Suite 103

Westminster, CA 92683 Tel: (714) 594-7575

Fax: (714) 594-7567

Provisional

Dang, Thi B., MD

Cardiology

Providence Medical Institute of Little Company of Mary

3475 Torrance Blvd., #A

Torrance, CA 90503

Tel: (310) 370-3568

Fax: (310) 540-0676

Active

Danon, Saar, MD Pediatric Cardiology

Pediatrics

MemorialCare Medical Group 2880 Atlantic Avenue, Suite 255

Long Beach, CA 90806

Tel: (562) 728-5210

Fax: (562) 427-1987

Courtesy

Page 10: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Dark, Anthony D., MD

Telepsychiatry

Vituity

2100 Powell St. #900 Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Limited

Davies, Robert O., MD

Psychiatry

471 W. 7th St.

San Pedro, CA 90731

Tel: (310) 833-6572

Fax: (310) 833-1024

Active

De Guzman, Earl Andrew B., MD

Psychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Provisional

De Guzman, Norbert Justin R., MD

Medicine

Hospitalist

Providence Medical Associates

4101 Torrance Blvd.

PMA DEPARTMENT

Torrance, CA 90503 Tel: (310) 374-8191

Fax: (310) 303-6834

Courtesy

De Leon, Edwin R., MD

Telepsychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Limited

De Vito, Alessandro, MD

Pathology

Affiliated Pathologist Medical Group

2374 E. Pacifica Place

Rancho Dominguez, CA 90220

Tel: (310) 225-3185

Fax: (310) 698-7054

Courtesy

DeBoyes, Telia N., MD

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept

Long Beach, CA 90813

Tel: (562) 491-9762 Fax: (562) 491-9264

Active

Del Vicario, Michele, MD

Cardiology

Internal Medicine

Providence Medical Institute of Little Company of Mary

3475 Torrance Blvd., #A

Torrance, CA 90503

Tel: (310) 370-3568

Fax: (310) 540-0676

Courtesy

DeLilly, Julie A., MD Internal Medicine

Providence Medical Institute of Little Company of Mary 520 N. Prospect Ave., #103

Redondo Beach, CA 90277

Tel: (310) 376-8816

Fax: (424) 212-5984

Provisional

Delman, Allan M., MD

Orthopedic Surgery

1294 W. 6th St., #210

San Pedro, CA 90732

Tel: (310) 514-2453

Fax: (310) 514-1726

Active

Dhaliwal, Kail S., MD

Anesthesiology

Professional Anesthesia Associates

P.O. Box 6878

San Pedro, CA 90734

Tel:

Fax:

Provisional

Dhingsa, Jaskaran S., MD

Hospitalist

Family Medicine

Providence Medical Associates

1300 W 7th St.

San Pedro, CA 90732 Tel: (310) 241-4069

Fax: (310) 514-4330

Active

Dhoot, Jashdeep S., MD

Cardiology

Providence Medical Institute of Little Company of Mary

3475 Torrance Blvd., #A

Torrance, CA 90503

Tel: (310) 370-3568

Fax: (310) 540-0676

Courtesy

Page 11: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Dimyan, Sherif A., DO

Neurology

1141 W. Redondo Bch Blvd., #207

Gardena, CA 90247 Tel: (310) 225-5599

Fax: (310) 225-5660

Active

Ding, James C., MD

Infectious Disease

Internal Medicine

23430 Hawthorne Blvd.

Suite 200

Torrance, CA 90505

Tel: (310) 784-5880

Fax: (310) 325-3117

Active

Divi, Venu, MD

Otolaryngology

350 West 5th Street, Suite 209

San Pedro, CA 90731

Tel: (310) 521-6386

Fax: (310) 521-6387

Active

Doo, Alex D., MD

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept

Long Beach, CA 90813

Tel: (562) 491-9762

Fax: (562) 491-9264

Provisional

Dudar, Ahmad D., MD

Pulmonary/Critical Care

So.California Intensivists & Pulmonoligist Nework

3605 Long Beach Blvd. #405

Long Beach, CA 90807

Tel: (562) 424-8000

Fax: (562) 424-8006

Provisional

Dugel, Raj U., MD

Ophthalmology

Providence Medical Institute of Little Company of Mary

4825 Torrance Blvd., Suite 100 Torrance, CA 90503

Tel: (310) 937-6585

Fax: (310) 542-3809

Courtesy

Duran, Manuel, R.N.

LPS Holds (5150)

Psychiatry

Bridges

1300 W. 7th St.

Bridges

San Pedro, CA 90732

Tel: (310) 514-5359

Fax: (310) 514-5432

Provisional

AHP

Eitner, Samantha C., PA

Physician Assistant

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept

Long Beach, CA 90813

Tel: (562) 491-9762

Fax: (562) 491-9264

Allied Health

Professional

Engelhardt, Gabriele, MD

Hospitalist Internal Medicine

Providence Medical Associates

4101 Torrance Blvd. PMA DEPARTMENT

Torrance, CA 90503

Tel: (310) 374-8191

Fax: (310) 303-6834

Courtesy

Enright, Kelly A., DO

Hospitalist

Internal Medicine

Optum

3330 W. Lomita Blvd - Optum 1st Fl.

Torrance, CA 90505

Tel: (310) 214-0811 Fax: (310) 784-4991

Courtesy

Enwia, Edwin E., PA

Physician Assistant

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept

Long Beach, CA 90813

Tel: (562) 491-9762

Fax: (562) 491-9264

Allied Health

Professional

Esmail, Zahra, DO

Hospice and Palliative Medicine

PLCMMCT - Palliative Care

4101 Torrance Blvd. PALLIATIVE CARE DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-6840

Fax: (310) 303-6861

Provisional

Page 12: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Estrada, Marina, NP

Nurse Practitioner Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave Long Beach, CA 90813

Tel: (562) 491-9762

Fax: (562) 491-9264

Allied Health

Professional

Fanale, Christopher V., MD

Teleneurology

499 E. Hampden Ave. #360

Englewood, CO 80113

Tel: (303) 788-6984

Fax: (303) 788-7666

Limited

Fanous, Vadim V., MD

Hospitalist

Internal Medicine

Optum

3330 Lomita Blvd., Optum 1st Fl.

Torrance, CA 90505

Tel: (310) 214-0811

Fax: (310) 784-4991

Courtesy

Farooq, Muhammad U., MD

Teleneurology

Providence Teleneurology

9135 SW Barnes Rd Suite 461

Portland, OR 97225

Tel: (503) 216-1150 Fax: (971) 282-0086

Limited

Faynsod, Moshe, MD

General Surgery

5215 Torrance Blvd.

Torrance, CA 90503

Tel: (310) 750-1715

Fax: (310) 792-6551

Active

Feit, Eric M., DPM

Podiatry

Precision Foot and Ankle Centers

3655 Lomita Blvd. Suite 120 Torrance, CA 90505

Tel: (310) 791-1092

Fax: (310) 791-1087

Courtesy

Feld, Carl J., MD

Hospitalist

Internal Medicine

Providence Medical Associates

5100 Gold Leaf Circle Suite 200

Los Angeles, CA 90056

Tel: (323) 293-7171

Fax: (323) 348-3716; (323) 290-6792

Provisional

Fennar, Tad, DPM

Podiatry

1300 W. 6th St.

San Pedro, CA 90732

Tel: (310) 831-0728

Fax: (310) 831-8564

Courtesy

Feradouni, Armin, DPM

Podiatry

Professional Foot & Ankle Center

28631 S. Western Avenue

#102 - North Building

Rancho Palos Verdes, CA 90275 Tel: (310) 294-9905

Fax: (310) 294-9913

Courtesy

Fisher, Steven D., MD

General Surgery

Association of South Bay Surgeons

23451 Madison St. #340

Torrance, CA 90505

Tel: (310) 373-6864

Fax: (310) 373-6065

Courtesy

Fishfader, Fanny P., MD

Anesthesiology

Professional Anesthesia Associates

P.O. Box 6878

San Pedro, CA 90734

Tel:

Fax:

Provisional

Flores, Ramiro C., MD

Internal Medicine

Kaiser Permanente South Bay

25825 S. Vermont Ave. Medicine Dept

Harbor City, CA 90710

Tel: (310) 325-5111 Fax:

Limited

Follmar III, Kenneth E., MD

Pediatrics

San Pedro Pediatric Medical Group

1294 W. 6th Street Ste. 102

San Pedro, CA 90731

Tel: (310) 832-6487

Fax: (310) 832-6913

Active

Page 13: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Fong, Brian D., MD

Emergency Medicine

Long Beach Emergency Medical Group

1300 West 7th Street Emergency Department

San Pedro, CA 90732

Tel: (310) 514-5354

Fax:

Active

Fox, Arthur H., MD

General Surgery

Gardena Surgical Inc

1141 W. Redondo Beach Blvd., #202

Gardena, CA 90247

Tel: (310) 523-3570 Fax: (310) 523-4054

Courtesy

Franklin, Cale A., MD

Pediatrics

Providence Medical Associates

5100 Goldleaf Circle, 2nd Floor

Los Angeles, CA 90056

Tel: (323) 293-7171

Fax: (323) 348-3716

Courtesy

Fraser, Ezra T., MD

TeleRadiology

Rad-Image Medical Group

2651 Walnut Ave. Long Beach, CA 90755

Tel: (562) 912-2507

Fax: (562) 912-2507

Limited

Freedman-Harvey, Gary M., PhD

Clinical Psychology

Psychology

311 Main St. #9

Seal Beach, CA 90740

Tel: (562) 209-4399

Fax: (562) 391-1867

Allied Health

Professional

French Jr., James H., MD

Cardiology

Internal Medicine

COR Healthcare Medical Associates

1360 W. 6th Street, Suite 200

San Pedro, CA 90732

Tel: (310) 547-9922

Fax: (310) 547-9992

Active

Friedlander, Melanie H., MD

General Surgery

Association of South Bay Surgeons

23451 Madison St. #340

Torrance, CA 90505

Tel: (310) 373-6864 Fax: (310) 373-6065

Active

Frischmann, Lindsey K., DO

Teleneurology

Neurology

PHCMC - Neurohospitalist

15031 Rinaldi St

Mission Hills, CA 91345-1207

Tel: (818) 361-0917

Fax: (818) 361-1606

Limited

Froutan, Neema, MD Hospitalist

Internal Medicine

Providence Medical Associates 4101 Torrance Blvd.

PMA DEPARTMENT

Torrance, CA 90503

Tel: (310) 310-3748

Fax: (310) 303-6834

Courtesy

Fujikawa, Kelly A., MD

Hospitalist

Internal Medicine

Optum

3330 W. Lomita Blvd - Optum 1st Fl.

Torrance, CA 90505 Tel: (310) 214-0811

Fax: (310) 784-4991

Provisional

Fukunaga, Karl K., MD

Gastroenterology

Internal Medicine

Digestive Care Consultants

23451 Madison St., #290

Torrance, CA 90505

Tel: (310) 375-1246

Fax: (310) 802-6073

Active

Gajjar, Ashish A., MD Teleneurology

2323 16th Street Bakersfield, CA 93301

Tel: (661) 324-0500

Fax: (661) 324-0600

Limited

Page 14: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Gallegos II, Nicolas, MD

Pathology

Affiliated Pathologists Medical Group, Inc.

2374 E. Pacifica Place Rancho Dominguez, CA 90220

Tel: (310) 225-3221

Fax: (310) 698-7054

Provisional

Garcia Saborio, Olga E., NP

Nurse Practitioner

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept

Long Beach, CA 90813

Tel: (562) 491-9762

Fax: (562) 491-9264

Allied Health

Professional

Garg, Ronak B., MD

Hospitalist

Internal Medicine

Providence Medical Institute

4101 Torrance Blvd.

Torrance, CA 90503

Tel: (310) 374-8191

Fax: (310) 303-6834

Courtesy

Gee, Brian M., MD

Hospitalist

Internal Medicine

Providence Medical Associates

4101 Torrance Blvd.

PMA DEPARTMENT Torrance, CA 90503

Tel: (310) 374-8191

Fax: (310) 303-6834

Courtesy

Gerbutavicius, Aaron, NP

Nurse Practitioner

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept

Long Beach, CA 90813

Tel: (562) 491-9762

Fax: (562) 491-9264

Provisional

AHP

Gessesse, Hiruy H., MD

Psychiatry

Addis Medical Group

4712 Admiralty Way, #579

Marina del Rey, CA 90292

Tel: (310) 936-9906

Fax: (424) 214-1407

Active

Ghadimi, Kamran, MD

Pain Management

Anesthesiology

1412 West 7th St.

San Pedro, CA 90732

Tel: (310) 548-5481 Fax: (310) 548-5000

Courtesy

Ghadishah, Elham, MD

Family Medicine

Geriatrics

Providence Medical Associates

1300 W 7th St.

San Pedro, CA 90732

Tel: (310) 241-4069

Fax: (310) 514-4330

Active

Ghatan, Bijan, MD Internal Medicine

20401 S Avalon Blvd Ste B. Carson, CA 90746

Tel: (310) 327-8877

Fax:

Active

Giaconi, Mirko, MD

Cardiology

Internal Medicine

Prime Medical

1366 W. 7th Street

San Pedro, CA 90732

Tel: (310) 833-2461

Fax: (310) 833-6342

Active

Giles, James A., MD

Teleneurology

Providence Telestroke

800 5th Avenue, Suite 900

Seattle, WA 98104

Tel: (425) 524-5461

Fax: (206) 829-4957

Limited

GiuDici, Mario C., MD

TeleRadiology

Rad Image Medical Group

2651 Walnut Ave.

Signal Hill, CA 90755 Tel: (562) 912-2507

Fax: (562) 912-2507

Limited

Glassy, Eric F., MD

Pathology

Affiliated Pathologist Medical Group

2374 E. Pacifica Place

Rancho Dominguez, CA 90220

Tel: (310) 225-3221

Fax: (310) 698-7040

Courtesy

Page 15: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Gluckman, Richard S., MD

Neurology

1360 W. 6th St., #350

San Pedro, CA 90732 Tel: (310) 832-6428

Fax: (310) 832-5178

Courtesy

Gonzalez, Lorena, MD

General Surgery

City of Hope

5215 Torrance Blvd

Torrance, CA 90503

Tel: (310) 750-1715

Fax: (310) 792-6551

Provisional

Grant, Valerie, MD

Emergency Medicine

Prime Medical

1366 W. 7th Street

San Pedro, CA 90732

Tel: (310) 833-2461

Fax: (310) 833-6342

Membership

Only

Green, Garth A., MD

Radiation Oncology

City of Hope

5215 Torrance Blvd

Torrance, CA 90503

Tel: (310) 750-1715 Fax: (310) 316-9370

Courtesy

Green, Michael D., PA

Physician Assistant

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept

Long Beach, CA 90801

Tel: (562) 491-9762

Fax:

Allied Health

Professional

Greenberg, L. Bruce, MD Hospitalist

Family Medicine

Providence Medical Associates 1499 West 1st Street

San Pedro, CA 90732

Tel: (310) 241-4069

Fax: (310) 514-4330

Courtesy

Guess, Matthew A., MD

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept

Long Beach, CA 90813

Tel: (562) 491-9762

Fax: (562) 491-9264

Provisional

Gulko, Brian C., MD

Pediatrics

Providence Medical Institute of Little Company of Mary

3475 Torrance Blvd., #A

Torrance, CA 90503

Tel: (310) 370-3568

Fax: (310) 540-0676

Provisional

Gupta, Vivek, MD

Internal Medicine

Optum

3330 Lomita Blvd., Optum 1st Fl. Torrance, CA 90505

Tel: (310) 325-9110

Fax: (310) 784-4991

Active

Gustaves, Kaitlyn, PA-C

Physician Assistant

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept

Long Beach, CA 90813

Tel: (562) 491-9762

Fax: (562) 491-9264

Allied Health

Professional

Ha, Thai Q., MD

Gastroenterology

Internal Medicine

Digestive Care Consultants

23451 Madison St., #290

Torrance, CA 90505

Tel: (310) 375-1246

Fax: (310) 802-6073

Active

Habib, Munira, MD

Hospitalist

Internal Medicine

Optum

3330 W. Lomita Blvd - Optum 1st Fl.

Torrance, CA 90505 Tel: (310) 214-0811

Fax: (310) 784-4991

Active

Haghighat, Shaghayegh, MD

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept

Long Beach, CA 90813

Tel: (562) 491-9762

Fax: (562) 491-9264

Provisional

Page 16: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Hajduczek, Andrew J., MD

Bariatric Surgery

1536 W. 25th St. #208

San Pedro, CA 90732 Tel: (661) 430-0940

Fax: (661) 295-0862

Provisional

Hakim, Shahina, MD

Gastroenterology

Internal Medicine

Digestive Care Consultants

23451 Madison St., #290

Torrance, CA 90505

Tel: (310) 375-1246

Fax: (310) 802-6073

Active

Halawa, Hany M., MD

Pathology

Affiliated Pathologist Medical Group

PLCMMCT - Path. Dept.

Tel: (310) 225-3220

Fax: (310) 698-7054

Courtesy

Hanna, Hanaa N., MD

Pediatrics

887 W. 9th St.

San Pedro, CA 90731

Tel: (310) 547-0887

Fax: (310) 547-4296

Courtesy

Hariri, Keyvan, MD

Family Medicine

Providence Medical Institute

520 N. Prospect Ave. Suite 210

Redondo Beach, CA 90277

Tel: (310) 406-2349

Fax: (310) 406-8012

Provisional

Harman, Herbert J., MD

Psychiatry

Vituity

2100 Powell St. #900 Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Active

Harris, Udana, R.N.

LPS Holds (5150)

Bridges

1300 W. 7th St.

San Pedro, CA 90732

Tel: (310) 514-5359

Fax: (310) 514-5432

Provisional

AHP

Hasan, Shazia M., MD

Cardiovascular Disease

Providence Medical Associates

5100 Goldleaf Circle, Suite 200

Los Angeles, CA 90056

Tel: (310) 675-1400

Fax: (310) 675-1402

Courtesy

Hasnain, Huma S., MD

Nephrology

Internal Medicine

UCLA Health Torrance Primary & Specialty Care

3500 Lomita Blvd., M100

Torrance, CA 90505 Tel: (310) 517-8578

Fax: (310) 517-8588

Courtesy

Hassamal, Sameer K., MD

Telepsychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Limited

Hassan, Shahid, MD

Hospitalist

Internal Medicine

Providence Medical Associates

4101 Torrance Blvd.

PMA DEPARTMENT

Torrance, CA 90503

Tel: (310) 374-8191

Fax: (310) 303-6834

Courtesy

Hean, Sindalana, MD

Internal Medicine

Optum

3330 W. Lomita Blvd - Optum 1st Fl.

Torrance, CA 90505 Tel: (310) 214-0811

Fax: (310) 784-4991

Courtesy

Hemmat, Matin R., MD

Hospitalist

Internal Medicine

Providence Medical Associates

1300 W 7th St.

San Pedro, CA 90732

Tel: (310) 514-5401

Fax: (310) 514-4330

Active

Page 17: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Hemmat, Mehdi, MD

Obstetrics and Gynecology

Providence Medical Associates

20911 Earl St, Suite 440 Torrance, CA 90503

Tel: (310) 419-8585

Fax: (310) 419-8583

Active

Hennessay, Megan E., DO

Family Medicine

Vasek Polak Health Clinic

13355 Hawthorne Blvd.

Hawthorne, CA 90250-5802

Tel: (310) 355-0100

Fax: (310) 355-0110

Provisional

Hernandez-Arce, Israel J., MD

Hospitalist

Internal Medicine

Providence Medical Associates

1300 W 7th St.

San Pedro, CA 90732

Tel: (310) 514-5401

Fax: (310) 514-4330

Active

Herrera, Carlos M., R.N.

LPS Holds (5150)

Bridges

1300 W. 7th St.

Bridges San Pedro, CA 90732

Tel: (310) 514-5359

Fax: (310) 514-5432

Provisional

AHP

Hidy, Benjamin J., MD

Telepsychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Provisional

Hirose, Thomas G., MD

Pathology

Affiliated Pathologist Medical Group

2374 E. Pacifica Place

Rancho Dominguez, CA 90220

Tel: (310) 225-3220

Fax: (310) 698-7040

Courtesy

Holliman, Kenneth E., MD

Obstetrics and Gynecology

Providence Medical Associates

20911 Earl St. Suite 440

Torrance, CA 90503 Tel: (310) 419-8585

Fax: (310) 419-8553

Courtesy

Holt, Kenneth M., MD

Gastroenterology

Internal Medicine

Digestive Care Consultants

23451 Madison St., #290

Torrance, CA 90505

Tel: (310) 375-1246

Fax: (310) 375-0590

Active

Howe, Arlene K., RNFA

RNFA

PLCMMCT - Surgery Dept

4101 Torrance Blvd.

SURGERY DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-5360

Fax: (310) 303-5369

Provisional

AHP

Hsu, Jiachiahn S., MD

Hospitalist Internal Medicine

Providence Medical Associates

520 North prospect Avenue PMA DEPARTMENT

Redondo Beach, CA 90277

Tel: (310) 406-2349

Fax: (310) 406-8012

Courtesy

Htein, Sandy, MD

Internal Medicine

Geriatrics

Kaiser Permanente South Bay

25825 S. Vermont Ave.

Harbor City, CA 90710

Tel: (310) 517-3242

Fax:

Limited

Huettner, Glenn A., MD

Radiology

Advanced Imaging of the South Bay, Inc.

4101 Torrance Blvd.

IMAGING DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-5750

Fax: (310) 303-5738

Active

Page 18: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Husain, Farhan, MD

Internal Medicine

Providence Medical Associates

4101 Torrance Blvd. PMA DEPARTMENT

Torrance, CA 90503

Tel: (310) 374-8191

Fax: (310) 303-6834

Provisional

Hwang, Michelle R., MD

Nephrology

200 Medical Plaza

Suite 365

Los Angeles, CA 90095

Tel: (310) 206-7662 Fax: (310) 206-3607

Provisional

Hyun, James Y., MD

TeleRadiology

Radiology

2651 Walnut Avenue

Signal Hill, CA 90755

Tel: (562) 912-2507

Fax:

Limited

Ibrahim, Aalamgeer K., MD

Telepsychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062 Tel: (510) 350-2600

Fax: (510) 597-2900

Limited

Ishaque, Brandon M., MD

Radiology

Diagnostic Radiology

Advanced Imaging of the South Bay, Inc.

4101 Torrance Blvd.

IMAGING DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-5703

Fax: (310) 303-3949

Active

Ishihara, Terry T., MD

Family Medicine

Providence Medical Institute

1499 W. 1st St.

San Pedro, CA 90732

Tel: (310) 831-9482

Fax: (310) 832-0994

Membership

Only

Jackson, Bruce K., MD

Cardiology

Internal Medicine

COR Healthcare Medical Associates

520 N. Prospect Ave. Suite 300

Redondo Beach, CA 90277 Tel: (310) 372-1156

Fax: (310) 372-6504

Courtesy

Jackson, Tommy A., ST

Scrub Technician

Orthopaedic Specialties Associates

4201 Torrance Blvd. #190

Torrance, CA 90503

Tel: (310) 543-2521

Fax: (310) 543-9352

Provisional

AHP

Jacobs, Karl M., MD

Psychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Limited

Jandali, Ramzy, MD

Hospitalist

UCLA Hospitalist Service

1250 16th Street #C2304

Santa Monica, CA 90404 Tel: (310) 319-4698

Fax: (310) 319-4908

Courtesy

Jang, Timothy B., MD

Emergency Medicine

Long Beach Emergency Medical Group

1300 W. 7th St - ED Dept

San Pedro, CA 90732

Tel: (562) 491-9762

Fax: (562) 491-9264

Active

Ji, Sang Yong Y., MD Cardiology

Electrophysiology

COR Healthcare Medical Associates 2841 Lomita Blvd. Suite 100

Torrance, CA 90505

Tel: (310) 257-0508

Fax: (310) 325-8109

Courtesy

Page 19: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Jimenez, Andres, MD

Family Medicine

Providence Medical Institute

1499 W 1st St Floor 2 San Pedro, CA 90732

Tel: (310) 831-9482

Fax: (310) 832-6419

Courtesy

Judd, Lilith M., MD

Teleneurology

Neurology

Providence Health & Services

9135 SW Barnes Road., #461

Portland, OR 97225

Tel: (503) 216-1150

Fax: (917) 202-0086

Limited

Kafi, Reza, MD

Dermatology

Direct Dermatology

530 Lytton Ave., 2nd Floor

Palo Alto, CA 94301

Tel: (855) 944-7546

Fax: (800) 572-0683

Limited

Kahlon, Jason S., MD

Internal Medicine

Hospitalist

Providence Medical Associates

4101 Torrance Blvd.

PMA DEPARTMENT Torrance, CA 90503

Tel: (310) 310-3748

Fax: (310) 303-6834

Provisional

Kallichanda, Nathash, MD

Pathology

Affiliated Pathologist Medical Group

2374 E. Pacifica Place

Rancho dominguez, CA 90220

Tel: (310) 225-3142

Fax: (310) 698-7054

Courtesy

Kansara, Amit C., MD

Teleneurology

Neurology

Providence Neurological Specialties West

9135 SW Barnes Rd.

#461

Portland, OR 97225

Tel: (503) 216-1150

Fax: (971) 282-0086

Limited

Kaushal, Rishi, MD

Cardiology

3475 Torrance Blvd., #A

Torrance, CA 90503 Tel: (310) 370-3568

Fax: (310) 540-0676

Courtesy

Kelly, Daniel F., MD

Neurosurgery

Pacific Neuroscience Institute Medical Group, Inc.

2121 Santa Monica Blvd

Santa Monica, CA 90404

Tel: (310) 582-7450

Fax: (310) 582-7495

Courtesy

Khaleeli, Hosayn, MD

Nephrology

Internal Medicine

2245 Sepulveda Blvd.

Torrance, CA 90501

Tel: (310) 320-3204

Fax: (310) 320-0919

Courtesy

Khan, Omer, MD

Nephrology

Internal Medicine and Nephrology Medical Group

2841 Lomita Blvd. Suite 215

Torrance, CA 90505

Tel: (310) 379-2860 Fax: (310) 325-1144

Courtesy

Khani, Samina G., MD

Hospitalist

Internal Medicine

Providence Medical Associates

4101 Torrance Blvd.

PMA DEPARTMENT

Torrance, CA 90503

Tel: (310) 374-8191

Fax: (310) 303-6834

Provisional

Khattab, Sherif M., MD Plastic Surgery

23365 Hawthorne Blvd., #102 Torrance, CA 90505

Tel: (310) 325-2100

Fax: (310) 325-7400

Courtesy

Page 20: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Khawam, Elias, MD

Hospitalist Internal Medicine

Optum

3330 Lomita Blvd., Optum 1st Fl. Torrance, CA 90505

Tel: (310) 325-9110

Fax: (310) 784-4991

Courtesy

Khoshsar, Rostam, MD

Pain Management

Anesthesiology

Biohealth Pain Management

15901 Hawthorne Blvd. Suite 240

Lawndale, CA 90260

Tel: (424) 360-0066

Fax: (424) 360-0077

Courtesy

Kim, Cindy B., MD

Internal Medicine

Hospitalist

Providence Medical Associates

4101 Torrance Blvd.

PMA DEPARTMENT

Torrance, CA 90503

Tel: (310) 374-8191

Fax: (310) 303-6834

Courtesy

Kim, Gene C., MD

Cardiology Cardiology

COR Healthcare Medical Associates

2841 Lomita Blvd. Suite 100 Torrance, CA 90505

Tel: (310) 257-0508

Fax: (310) 325-8109

Courtesy

Kim, Hannah N., MD

Pediatrics

Providence Medical Institute

520 N. Prospect Ave. Suite 211

Redondo Beach, CA 90277

Tel: (310) 406-2349

Fax: (310) 406-8012

Provisional

Kim, Jeffrey, MD

Anesthesiology

Professional Anesthesia Associates

P.O. Box 6878

San Pedro, CA 90734

Tel:

Fax:

Provisional

Kim, William C., MD

Orthopedic Surgery

Orthopaedic Specialties Associates

4201 Torrance Blvd., #190

Torrance, CA 90503 Tel: (310) 543-2521

Fax: (310) 543-4754

Courtesy

Kinchen III, Ernest W., MD

TeleRadiology

Radiology

2651 Walnut Avenue

Signal Hill, CA 90755

Tel: (562) 912-2507

Fax:

Limited

Ko, Jounghwa, NP Nurse Practitioner

Medicine

Kaiser Permanente South Bay 25975 S. Normandie Avenue

Harbor City, CA 90710

Tel: (424) 251-7525

Fax: (424) 251-7523

Allied Health Professional

Koh, Stanley G., MD

Anesthesiology

South Bay Anesthesia Medical Group

4101 Torrance Blvd.

ANESTHESIA DEPARTMENT

Torrance, CA 90503 Tel: (310) 303-0811

Fax: (310) 303-5369

Provisional

Kohar, Audrey S., DO

Physical Med & Rehab

PLCMMCSP - Rehab Center

1300 W. 7th St.

San Pedro, CA 90732

Tel: (310) 514-5377

Fax: (310) 514-5374

Active

Koka, Madhavi, MD Hospitalist

Internal Medicine

Optum 3330 W. Lomita Blvd - Optum 1st Fl.

Torrance, CA 90505

Tel: (310) 214-0811

Fax: (310) 784-4991

Courtesy

Page 21: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Kolanz, Robert A., MD

Radiology Vascular and Interventional Radiology

Advanced Imaging of the South Bay, Inc.

4101 Torrance Blvd. IMAGING DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-5703

Fax: (310) 303-5738

Active

Komatsu, Glen I., MD

Palliative Care

Neonatology

PLCMMC Torrance Palliative Care

4101 Torrance Blvd - 2nd Fl.

Torrance, CA 90503

Tel: (310) 303-6840 Fax: (310) 303-6861

Courtesy

Konecny, Jiri A., DO

Thoracic Surgery

Vascular Surgery

3440 Atlantic Ave. #2

Long Beach, CA 90807

Tel: (562) 595-8418

Fax: (562) 595-8430

Courtesy

Kornbau, Andrea M., MD

Psychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062 Tel: (510) 350-2600

Fax: (510) 597-2900

Provisional

Kosar, Erol M., MD

Cardiology

Internal Medicine

COR Healthcare Medical Associates

2841 Lomita Blvd. Suite 100

Torrance, CA 90505

Tel: (310) 257-0508

Fax: (310) 325-8109

Courtesy

Krajisnik, Sanja, MD

Pathology

Affiliated Pathologist Medical Group

4101 Torrance Blvd.

PATHOLOGY DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-6970

Fax: (310) 303-6922

Limited

Krieger, Lori R., MD

Pediatrics

1360 W. 6th St., #300

San Pedro, CA 90732

Tel: (310) 514-0838 Fax: (310) 514-0425

Active

Kumabe, Chelsea S., DO

Hospitalist

Family Medicine

Optum

3330 W. Lomita Blvd - Optum 1st Fl.

Torrance, CA 90505

Tel: (310) 214-0811

Fax: (310) 784-4991

Courtesy

Kwon, Steven, MD Hospitalist

Internal Medicine

Providence Medical Associates P.O. Box 6374

Kamuela, HI 96743

Tel:

Fax:

Active

La, Mike Q., MD

Internal Medicine

Pediatrics

PLCMMC-Torrance Hospitalist

4101 Torrance Blvd

Torrance, CA 90503-4607

Tel: (310) 374-8191 Fax: (310) 303-6834

Courtesy

Lada, Robert A., MD

Teleneurology

Neurology

2741 Debarr Rd.

Suite 308 Bldg C

Anchorage, AK 99508

Tel: (907) 331-3640

Fax: (907) 331-3647

Limited

Lagnese, Meena E., MD

Internal Medicine Infectious Disease

Optum

3330 Lomita Blvd., Optum 1st Fl. Torrance, CA 90503

Tel: (310) 214-0811

Fax: (310) 538-1568

Courtesy

Page 22: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Lai, Kasey K., MD

Hospitalist Internal Medicine

Providence Medical Associates

4101 Torrance Blvd. PMA DEPARTMENT

Torrance, CA 90503

Tel: (310) 374-8191

Fax: (310) 303-6834

Courtesy

Lalezari, Sepehr, MD

General Surgery

1245 Wilshire Blvd., #907

Los Angeles, CA 90014

Tel: (213) 545-1656

Fax: (213) 915-3131

Provisional

Langevin, Jean-Philippe, MD

Neurosurgery

Pacific Neuroscience Institute Brain Tumor @ John Wayne Cancer Institute

2200 Santa Monica Blvd.

Santa Monica, CA 90404

Tel: (310) 582-7450

Fax: (310) 582-7495

Courtesy

Lashkari, Pooya, DPM

Podiatry

3655 Lomita Blvd., # 120

Torrance, CA 90505

Tel: (310) 791-1092 Fax: (310) 791-1087

Courtesy

Lau, Bryan T., MD

Hospitalist

Internal Medicine

Optum

3330 W. Lomita Blvd - Optum 1st Fl.

Torrance, CA 90505

Tel: (310) 214-0811

Fax: (310) 784-4991

Courtesy

Law, David S., MD Hospitalist

Internal Medicine

Optum 2801 Atlantic Ave.

Long Beach, CA 90806

Tel: (562) 426-3333

Fax: (562) 933-0148

Active

Lee, Byung, DO

Hematology/Oncology

1700 E. Cesar E. Chavez

#3500

Los Angeles, CA 90033

Tel: (323) 264-0430

Fax: (323) 264-2354

Provisional

Lee, Catherine, MD

Psychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Provisional

Lee, Mimi S., MD

Teleneurology

Providence Medical Associates - Neurology

4101 Torrance Blvd. Torrance, CA 90503

Tel: (310) 303-5250

Fax: (310) 303-6834

Limited

Lee, Thomas C., MD

Hospitalist

Internal Medicine

Optum

3330 Lomita Blvd., Optum 1st Fl.

Torrance, CA 90505

Tel: (310) 214-0811

Fax: (310) 784-4991

Courtesy

Lee, Tonny M., MD

Gastroenterology

Internal Medicine

South Bay Gastroenterology Medical Group

23456 Hawthorne Blvd. Suite 300

Torrance, CA 90505

Tel: (310) 539-2055

Fax: (310) 539-0199

Courtesy

LeMay, Daniel R., MD

Neurosurgery

8043 2nd St. #105

Downey, CA 90241

Tel: (562) 862-1134 Fax: (562) 861-9895

Membership

Only

Leong, Nathaniel Y., MD

Hospitalist

Family Medicine

Providence Medical Associates

1300 W 7th St.

San Pedro, CA 90732

Tel: (310) 241-4069

Fax: (310) 514-4330

Active

Page 23: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Levine, Bruce D., DPM

Podiatry

Harbor Foot and Ankle Podiatric Medical Group

1360 W. 6th St., #150 West Building

San Pedro, CA 90732

Tel: (310) 548-1191

Fax: (310) 548-4007

Active

Lin, Julie C., MD

Pediatrics

Pediatrics

Providence Medical Institute

1294 W. 6th St., #104

San Pedro, CA 90731

Tel: (310) 548-9118 Fax: (310) 548-1310

Courtesy

Lipeles, Jamie A., DO

Obstetrics and Gynecology

4560 Admiralty Way, STE 105

Marina Del Rey, CA 90292

Tel: (310) 694-5255

Fax: (310) 306-5555

Provisional

Lizaso, Knef V., MD

Emergency Medicine

Long Beach Emergency Medical Group

1300 West 7th Street

Department of Emergency Medicine San Pedro, CA 90732

Tel: (310) 514-5350

Fax: (000) 000-0000

Active

Logan, Dwayne K., MD

Ophthalmology

Atlantis Eyecare

8028 #rd Street

Downey, CA 90241

Tel: (562) 622-8700

Fax: (562) 622-1800

Courtesy

London, James T., MD

Orthopedic Surgery

1360 W. 6th St., #305

San Pedro, CA 90732

Tel: (310) 833-2406

Fax: (310) 519-8936

Courtesy

Long, Huong-Anh N., MD

Physical Med & Rehab

PLCMMCSP - Rehab Center

1300 W. 7th St.

San Pedro, CA 90732

Tel: (310) 514-5377 Fax: (310) 514-5374

Active

Low, Nelman C., MD

Otolaryngology

Otolaryngology

Providence Medical Institute of Little Company of Mary

21311 Madrona Ave., #100A

Torrance, CA 90503

Tel: (310) 372-4400

Fax: (310) 542-5805

Courtesy

Lu, Jason Y., MD Emergency Medicine

Long Beach Emergency Medical Group 1050 Linden Ave - ED Dept

Long Beach, CA 90813

Tel: (562) 491-9762

Fax: (562) 491-9264

Provisional

Lundahl, Shelby D., MD

Radiology

Radiology

Advanced Imaging of the South Bay, Inc.

4101 Torrance Blvd.

IMAGING DEPARTMENT

Torrance, CA 90503 Tel: (310) 303-5750

Fax: (310) 303-5738

Provisional

Luo, Ruihong, MD

Infectious Disease

Peninsula Pulmonary Medical Associates

3701 Skypark Dr. Suite 200

Torrance, CA 90505

Tel: (310) 378-8900

Fax: (310) 791-0789

Provisional

Madani-Becker, Geula (Julie), MD Ophthalmology

1360 W. 6th St., # 215 San Pedro, CA 90732

Tel: (310) 547-9991

Fax: (310) 547-2389

Courtesy

Page 24: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Madorin, Catherine A., MD

General Surgery

Association of South Bay Surgeons

23451 Madison St., #340 Torrance, CA 90505

Tel: (310) 373-6864

Fax: (310) 373-6065

Active

Majcher, Grzegorz, MD

Nephrology

Internal Medicine

3858 Carson St., #123

Torrance, CA 90503

Tel: (310) 373-1115

Fax: (310) 316-1059

Active

Makalinao, Alex J., MD

Oncology

Hematology

California Hematology Oncology Medical Group

3440 W. Lomita Blvd. Suite 250

Torrance, CA 90505

Tel: (310) 530-9763

Fax: (310) 986-6511

Courtesy

Malhotra, Sameer M., MD

Urology

Advanced Urology Medical Offices

510 N. Prospect Ave. Suite 115

Redondo Beach, CA 90277

Tel: (310) 530-5050 Fax: (310) 670-7275

Courtesy

Mallam, Divya, MD

Gastroenterology

Digestive Care Consultants

23451 Madison St. #290

Torrance, CA 90505

Tel: (310) 375-1246

Fax: (310) 375-0590

Courtesy

Manoochehrian, Ali, MD Anesthesiology

Integrated Anesthesia Medical Group 898 N. Pacific Coast Hwy, Suite 600

El Segundo, CA 90245

Tel: (310) 698-5452

Fax: (310) 379-4856

Courtesy

Mao, Yi, MD

Teleneurology

101 W 8th Avenue 8 North

Room 814

Spokane, WA 99204

Tel: (509) 458-7851

Fax: (509) 474-2895

Limited

Marvi, Michael M., MD

Teleneurology

Neurology

Providence Teleneurology

501 S. Buena Vista St.

1 - North

Burbank, CA 91505

Tel: (818) 847-6049

Fax: (818) 847-4842

Limited

Masiello, David P., MD Hematology/Oncology

Hematology Oncology Specialists 1700 E. Cesar Chavez Ave. #3500

Los Angeles, CA 90033

Tel: (323) 264-0430

Fax: (323) 264-2354

Provisional

Masters, Christie L., MD

Internal Medicine

Internal Medicine

UCLA Hospitalist Service

1250 16th Street #C2304

Santa Monica, CA 90404

Tel: (310) 319-4698 Fax: (310) 206-3260

Courtesy

Matchison, James C., MD

Cardiology

COR Healthcare Medical Associates

2841 Lomita Blvd. Suite 100

Torrance, CA 90505

Tel: (310) 257-0508

Fax: (310) 325-8109

Courtesy

Matsumoto, Naoko, MD

Pediatrics

3440 Lomita Blvd., Suite 242

Torrance, CA 90505 Tel: (310) 483-7880

Fax: (310) 564-2356

Courtesy

Mazzarulli, Anthony, MD

Telepsychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Limited

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Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

McAuley, Robert A., MD

Telepsychiatry

Vituity

2100 Powell St. #900 Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Limited

McFarland, Douglas W., MD

Emergency Medicine

Southern California Emergency Medical Group

1300 West 7th Street

San Pedro, CA 90732

Tel: (424) 570-5970

Fax:

Active

Mehta, Akshay M., MD

Orthopedic Surgery

Orthopaedic Surgical Specialists

23600 Telo Ave. Suite 180

Torrance, CA 90505

Tel: (310) 257-1500

Fax: (310) 257-1508

Courtesy

Mehta, Manish D., MD

Urology

4305 Torrance Blvd., #109

Torrance, CA 90503

Tel: (310) 639-4876 Fax: (310) 639-4879

Courtesy

Mehta, Parag, MD

Neurology

Solo Practice and Unified Neurologists of the Sout

1294 W. 6th St., #105

San Pedro, CA 90732

Tel: (310) 521-5990

Fax: (310) 521-5991

Courtesy

Meier, Martina R., MD Palliative Care

Internal Medicine

PLCMMCT - Palliative Care 4101 Torrance Blvd.

PALLIATIVE CARE DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-6842

Fax:

Courtesy

Meilleur, Christopher P., MD

Obstetrics and Gynecology

Providence Medical Associates

4101 Torrance Blvd.

OBGYN DEPARTMENT

Torrance, CA 90503 Tel: (310) 310-3748

Fax: (310) 303-6834

Courtesy

Menendez Interiano, Jose I., R.N.

LPS Holds (5150)

Bridges

1300 W. 7th St.

Bridges

San Pedro, CA 90732

Tel: (310) 514-5359

Fax: (310) 514-5432

Provisional

AHP

Menon, Ravi S., MD

Teleneurology

Neurology

Providence Health & Services - Telehealth

800 5th Avenue #900

Seattle, WA 98104

Tel: (425) 254-5461

Fax: (206) 829-5957

Limited

Telehealth

Merilles, Alvin, NP

Nurse Practitioner Emergency Medicine

1300 W. 7th St - Emergency Room

San Pedro, CA 90731 Tel: (310) 514-5350

Fax:

Allied Health

Professional

Miller, Kenneth J., MD

Ophthalmology

1360 W. 6th St., #215

San Pedro, CA 90732

Tel: (310) 547-9991

Fax: (310) 547-2389

Courtesy

Mirchandani, Neha H., MD

Teleneurology

11550 Indian Hills Road, Ste. #381

Mission Hills, CA 91345 Tel: (818) 496-4577

Fax: (818) 496-4796

Limited

Mirhashemi, Ramin, MD

Gynecology Oncology

Gynecology

23600 Telo Ave., #250

Torrance, CA 90505

Tel: (310) 375-8446

Fax: (310) 375-8489

Active

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Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Mirkovich, Joseph N., MD

Psychiatry

6521 Via Lorenzo

Rancho Palos Ve, CA 90275 Tel: (323) 842-2658

Fax: (888) 235-1709

Courtesy

Mistry, Sameer D., MD

Emergency Medicine

Southern California Emergency Medical Group

1300 West 7th Street

San Pedro, CA 90732

Tel: (424) 570-5970

Fax:

Active

Mittal, Raj A., MD

General Surgery

South Bay Colon and Rectal Surgeons

3400 W. Lomita Blvd., #200

Torrance, CA 90505

Tel: (310) 539-2630

Fax: (310) 539-9785

Active

Moeinolmolki, Babak, MD

General Surgery

2080 Century Park East., #1508

Los Angeles, CA 90067

Tel: (310) 694-4486

Fax: (310) 442-5979

Active

Molaie, Majid, MD

Neurology

28924 S. Western Ave., #201

Rancho Palos Verdes, CA 90275

Tel: (310) 514-8034

Fax: (310) 833-3508

Active

Molaie, Nahid N., MD

Hospitalist

Family Medicine

Providence Medical Associates

1300 W 7th St.

San Pedro, CA 90732 Tel: (310) 241-4069

Fax: (310) 514-4330

Active

Moore, Jennifer N., PA

Physician Assistant

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept

Long Beach, CA 90813

Tel: (562) 491-9762

Fax: (562) 491-9264

Allied Health

Professional

Moore, Robin A., MD Pathology

Affiliated Pathologist Medical Group 4101 Torrance Blvd.

PATHOLOGY DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-6795

Fax: (310) 698-7054

Limited

Muang-In, Sataporn, MD

Neonatology

Pediatrics

Pediatrix Medical Group, Inc.

4101 Torrance Blvd.

NICU DEPARTMENT Torrance, CA 90503

Tel: (310) 303-6318

Fax: (310) 303-5871

Courtesy

Mulholland, Chelsie L., PAC

Physician Assistant, General Surgery

City of Hope

5215 Torrance Blvd

Torrance, CA 90503

Tel: (310) 750-1715

Fax: (310) 792-6551

Provisional

AHP

Muraliraj, Vijay, MD

General Surgery

Colon and Rectal Surgery

Association of South Bay Surgeons

23451 Madison St. #340

Torrance, CA 90505

Tel: (310) 373-6864

Fax: (310) 373-6065

Courtesy

Musngi, Edgar A., MD

Nephrology

Internal Medicine

Internal Medicine and Nephrology Medical Group

2841 Lomita Blvd., #215

Torrance, CA 90505 Tel: (310) 379-2860

Fax: (310) 325-1144

Courtesy

Naik, Rahul R., MD

Hematology/Oncology

Hematology Oncology Specialists

1700 E. Cesar Chavez Ave. #3500

Los Angeles, CA 90033

Tel: (323) 264-0430

Fax: (323) 264-2354

Provisional

Page 27: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Najafi, Hossein A., MD

Plastic Surgery

1360 West 6th Street, #D

San Pedro, CA 90732 Tel: (310) 514-2511

Fax: (310) 514-2449

Courtesy

Naqi, Lubna, MD

Hospitalist

Endocrinology

Providence Medical Associates

520 N. Prospect Ave., Suite 103

Redondo Beach, CA 90277

Tel: (310) 376-8816

Fax: (424) 212-5984

Courtesy

Narvy, Steven J., MD

Orthopedic Surgery

Orthopaedic Specialties Associates

4201 Torrance Blvd., #190

Torrance, CA 90503

Tel: (310) 543-2521

Fax: (310) 543-4754

Provisional

Nawathe, Amar C., MD

Hospitalist

Internal Medicine

UCLA Health Southbay Hospitalists

1250 16th St. Suite C2304

Santa Monica, CA 90404

Tel: (310) 319-4698 Fax: (310) 319-4908

Courtesy

Ngo, Mark M., MD

Hematology/Oncology

Pacific Shores Medical Group

1043 Elm St., #104

Long Beach, CA 90813

Tel: (562) 590-0345

Fax: (562) 437-8139

Courtesy

Nguyen, Andrew H., MD General Surgery

City of Hope 5215 Torrance Blvd

Torrance, CA 90503

Tel: (310) 750-1715

Fax: (310) 792-6551

Provisional

Nguyen, David M., MD

Physical Med & Rehab

Kaiser Permanente South Bay

25825 S. Vermont Ave.

Physical Medicine Dept

Harbor City, CA 90710

Tel: (424) 251-7373 Fax: (424) 251-7341

Courtesy

Nguyen, Johnkim, MD

Anesthesiology

South Bay Anesthesia Medical Group

4101 Torrance Blvd.

ANESTHESIA DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-0811

Fax: (310) 303-5369

Provisional

Nguyen, Minh Q., MD

Gastroenterology

South Bay Gastroenterology Medical Group

23456 Hawthorne Blvd. Suite 300

Torrance, CA 90505

Tel: (310) 539-2055

Fax: (310) 539-0199

Courtesy

Nguyen, Son X., MD

General Surgery

Association of South Bay Surgeons

23451 Madison St. #340

Torrance, CA 90505 Tel: (310) 373-6864

Fax: (310) 373-6065

Active

Nien, Hannah C., MD

Radiology

Advanced Imaging of the South Bay, Inc.

4101 Torrance Blvd.

IMAGING DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-5703

Fax: (310) 303-5738

Active

Nien, Yih-Lin, MD

Neurology

Providence Medical Associates - Neurology

4101 Torrance Blvd.

Torrance, CA 90503

Tel: (310) 303-5250

Fax: (310) 303-6834

Courtesy

Page 28: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Nigro, Richard P., MD

Anesthesiology

P.O. Box 1954

Manhattan Beach, CA 90267 Tel: (310) 329-2469

Fax:

Limited

Nishimoto, Wade Y., MD

Hematology

Oncology

California Hematology Oncology Medical Group

3440 W. Lomita Blvd. Suite 250

Torrance, CA 90505

Tel: (310) 530-9763

Fax: (310) 986-6511

Courtesy

Nishioka, Lucas I., MD

Radiology

Advanced Imaging of the South Bay, Inc.

4101 Torrance Blvd.

IMAGING DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-5750

Fax: (310) 303-5738

Active

Nobile, Lucio M., MD

Hematology/Oncology

1360 W. 6th St.

San Pedro, CA 90732

Tel: (310) 547-4525 Fax: (310) 755-6317

Provisional

Novom, Andrew P., MD

Pediatrics

San Pedro Pediatric Medical Grp.

1294 W. 6th St., #102

San Pedro, CA 90731

Tel: (310) 832-6487

Fax: (310) 832-6913

Active

O'Dell, Jennifer F., MD Pathology

Affiliated Pathologist Medical Group 2374 E. Pacific Place

Rancho Dominguez, CA 90220

Tel: (310) 225-3244

Fax: (310) 698-7040

Limited

Ogami, Kyle Y., MD

Teleneurology

Providence Teleneurology

550 17th Ave. 402 West

Seattle, WA 98122

Tel: (206) 320-2208

Fax: (206) 320-2451

Limited

Ohsie, Steven J., MD

Pathology

Affiliated Pathologist Medical Group

2374 E. Pacifica Place

Rancho Dominguez, CA 90220

Tel: (310) 225-3244

Fax: (310) 698-7054

Courtesy

Okawa, Tsuyoshi M., MD

Hospitalist Internal Medicine

Providence Medical Associates

4101 Torrance Blvd. PMA DEPARTMENT

Torrance, CA 90503

Tel: (310) 374-8191

Fax: (310) 303-6834

Courtesy

Okon, Nicholas J., DO

Teleneurology

800 5th Avenue

Seattle, WA 98104

Tel: (425) 254-5461

Fax:

Limited

Telemedicine

(Privileges

Only)

Olson, Lorraine A., PA

Physician Assistant

Medicine

Kaiser Permanente South Bay

25975 S. Normandie Ave.

Continuing Care Dept

Harbor City, CA 90710

Tel: (424) 251-7528

Fax: (424) 251-7523

Allied Health

Professional

Omari, Bassam O., MD

Thoracic Surgery Cardiovascular Surgery

Harbor - UCLA Medical Foundation Institute

1000 W. Carson St., #423 Torrance, CA 90509

Tel: (310) 222-2747

Fax: (310) 320-2129

Associate

Page 29: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

O'Neill, Maureen A., MD

Pediatrics

Providence Medical Associates

11633 Hawthorne Blvd., #410 Hawthorne, CA 90250

Tel: (310) 675-5370

Fax: (310) 531-2082

Courtesy

Ortiz-Guerrero, Ana, MD

Nephrology

Internal Medicine & Nephrology Medical Group, Inc.

3291 Skypark Dr.

Torrance, CA 90505

Tel: (310) 325-4517

Fax: (310) 325-1144

Active

Ostrom, Matthew P., MD

Cardiology

Internal Medicine

COR Healthcare Medical Associates

2841 Lomita Blvd. Suite 100

Torrance, CA 90505

Tel: (310) 257-0508

Fax: (310) 325-8109

Courtesy

Oveian, Margarita, MD

Teleneurology

Providence Teleneurology

501 S. Buena Vista St.

1 North Clinic Burbank, CA 91505

Tel: (818) 558-7888

Fax: (818) 558-7818

Limited

Ozaki, Naomi K., MD

Neonatology

Pediatrix Medical Group, Inc.

4101 Torrance Blvd.

NICU DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-6301 Fax: (310) 303-6301

Courtesy

Pan, Jeanne P., NP

Nurse Practitioner

Medicine

Kaiser Permanente

25975 S. Normandie Avenue

South Bay Continuing Care Dept.

Harbor City, CA 90710

Tel: (424) 251-7875

Fax: (424) 251-7523

Allied Health

Professional

Panchal, Rashmin M., MD Geriatrics

Internal Medicine

Kaiser Permanente South Bay 25825 S. Vermont Ave.

Harbor City, CA 90710

Tel: (310) 325-5111

Fax: (310) 519-3987

Courtesy

Pandya, Nikhil, DO

Anesthesiology

P.O. Box 1713

Manhattan Beach, CA 90267

Tel: (518) 598-3233

Fax:

Membership

Only

Patel, Anand S., MD

Interventional Radiology

Radiology

Advanced Imaging of the South Bay, Inc.

4101 Torrance Blvd.

IMAGING DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-5703

Fax: (310) 316-3949

Active

Patel, Chirag P., MD Gastroenterology

Internal Medicine

Digestive Care Consultants 23451 Madison St., #290

Torrance, CA 90505

Tel: (310) 375-1246

Fax: (310) 802-6073

Active

Patel, Jay V., MD

Pulmonary/Critical Care

So.California Intensivists & Pulmonoligist Nework

3605 Long Beach Blvd. #405

Long Beach, CA 90807

Tel: (562) 424-8000

Fax: (562) 424-8006

Courtesy

Patel, Kishan S., MD

Teleneurology

Providence Neurological Specialties West

9135 SW Barnes Rd. #461

Portland, OR 97225

Tel: (503) 216-1150

Fax: (971) 282-0086

Limited

Page 30: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Perez, Mark A., MD

Family Medicine

1428 West 7th Street, #B

San Pedro, CA 90732 Tel: (310) 547-2197

Fax: (310) 547-9532

Courtesy

Perreault, Frank G., ST

Scrub Technician

Surgery

Orthopaedic Specialties Associates

4201 Torrance Blvd. #190

Torrance, CA 90503

Tel: (310) 543-2521

Fax: (310) 543-9352

Allied Health

Professional

Petrossian, Albert A., MD

Urology

Ascent Urology

6226 E Spring St #260

Long Beach, CA 90815

Tel: (562) 283-4876

Fax: (562) 731-2926

Provisional

Pisano, Crescenzo, MD

Internal Medicine

Providence Medical Institute

1499 1st St.

San Pedro, CA 90732

Tel: (310) 831-9482 Fax: (310) 832-6419

Active

Price, Anya R., R.N.

LPS Holds (5150)

1386 W 7th St. Building A

OBHC

San Pedro, CA 90732

Tel: (310) 241-4330

Fax: (310) 241-4342

Provisional

AHP

Puels, Elizabeth J., R.N. LPS Holds (5150)

Psychiatry

Bridges 1300 W. 7th St.

Bridges

San Pedro, CA 90732

Tel: (310) 514-5359

Fax: (310) 514-5432

Allied Health Professional

Qidwai, Midhat, MD

Anesthesiology

South Bay Anesthesia Medical Group

4101 Torrance Blvd.

ANESTHESIA DEPARTMENT

Torrance, CA 90503 Tel: (310) 303-0811

Fax: (310) 303-5369

Active

Rahimi, Mostafa S., MD

Hospitalist

Family Practice

Providence Medical Associates

209 N. Pacific Avenue

San Pedro, CA 90731

Tel: (310) 833-2121

Fax: (888) 411-5121

Active

Ramanna, Lalitha, MD

Nuclear Medicine

Advanced Imaging of the South Bay, Inc.

PLCMMCT - Imaging Dept.

4101 Torrance Blvd.

Torrance, CA 90503

Tel: (310) 303-5750

Fax: (310) 303-5520

Active

Ramezani, Roshanak, MD

Telepsychiatry

Vituity

2100 Powell St. #900 Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Limited

Telehealth

Ramirez, Gabriel F., MD

TeleRadiology

2651 Walnut Avenue

Signal Hill, CA 90755

Tel: (562) 912-2507

Fax:

Limited

Ramirez, Jessica V., MD Pediatrics

Providence Medical Associates 8540 S. Sepulveda Blvd., #818B

Los Angeles, CA 90045

Tel: (310) 670-3255

Fax: (310) 531-2325

Courtesy

Page 31: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Randall, Elaine J., CRNA

Nurse Anesthetist

Professional Anesthesia Associates

P.O. Box 6878 San Pedro, CA 90734

Tel:

Fax:

Allied Health

Professional

Randall, Penny K., MD

Telepsychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Limited

Raval, Janak K., MD

Radiology

Vascular/Interventional Radiol

Advanced Imaging of the South Bay, Inc.

4101 Torrance Blvd.

IMAGING DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-5750

Fax: (310) 303-5738

Active

Reddy, Ramakrishna T., MD

Cardiology Internal Medicine

COR Healthcare Medical Associates

2841 Lomita Blvd. Suite 100 Torrance, CA 90505

Tel: (310) 257-0508

Fax: (310) 325-8109

Active

Reddy, Roopa, MD

Internal Medicine

COR Healthcare Medical Associates

1360 W. 6th Street, Suite 200

San Pedro, CA 90732

Tel: (310) 547-9922

Fax: (310) 547-9992

Courtesy

Reddy, Usha R., MD

Emergency Medicine

Long Beach Emergency Medical Group

1300 W. 7th St - ED Dept

San Pedro, CA 90732

Tel: (310) 514-5350

Fax: (562) 985-3034

Active

Rehm, Kayla E., PA-C

Physician Assistant

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave.

Long Beach, CA 90813 Tel: (562) 491-9761

Fax: (562) 491-9264

Allied Health

Professional

Reider, Shannon J., DO

Hospitalist

Internal Medicine

Optum

3330 Lomita Blvd., Optum 1st Fl.

Torrance, CA 90505

Tel: (310) 214-0811

Fax: (310) 784-4991

Courtesy

Renner, Morgan E., MD

Ophthalmology

Retina Institute of California

100 E California Blvd

Pasadena, CA 91105

Tel: (626) 269-5330

Fax: (626) 574-0040

Provisional

Reykjalin, Erik, MD

Psychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062 Tel: (510) 350-2600

Fax: (510) 597-2900

Provisional

Riyaz, Azam S., MD

Gastroenterology

Digestive Care Consultants

23451 Madison St., # 290

Torrance, CA 90505

Tel: (310) 375-1246

Fax: (310) 375-0981

Active

Rodriguez, Carlos, MD Internal Medicine

Hospitalist

Providence Medical Institute 4101 Torrance Blvd.

Torrance, CA 90503

Tel: (310) 374-8191

Fax: (310) 303-6834

Courtesy

Page 32: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Rogachefsky, Richard A., MD

Orthopedic Surgery

1360 W.6th St - #305 N. Bldg.

San Pedro, CA 90732 Tel: (424) 570-4810

Fax: (424) 218-0874

Active

Rontal, Andrew D., MD

Teleneurology

Neurology

5050 NE Hoyt

#315

Portland, OR 97213

Tel: (503) 215-8580

Fax: (503) 215-8585

Limited

Ross, Jennifer L., MD

Anesthesiology

Professional Anesthesia Associates

P.O. Box 6878

San Pedro, CA 90734

Tel:

Fax:

Provisional

Rosso, Ronald F., MD

Plastic Surgery

3400 Lomita Blvd., #306

Torrance, CA 90505

Tel: (310) 326-3636

Fax: (310) 326-6448

Active

Rostami, Vida, MD

Obstetrics and Gynecology

Dr. Jaime A. Lipeles, A Professional Medical Corporation

4560 Admiralty Way, # 105

Marina Del Rey, CA 90292

Tel: (310) 694-5255

Fax: (310) 306-5555

Provisional

Ru, XiuQing, MD

Hematology Oncology

California Hematology Oncology Medical Group

3440 W. Lomita Blvd. Suite 250 Torrance, CA 90505

Tel: (310) 530-9763

Fax: (310) 986-6511

Courtesy

Rusev, Stoyan D., MD

Telepsychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Limited

Russo, Paula R., R.N.P.

Nurse Practitioner

Medicine

Kaiser Permanente South Bay

25975 S. Normandie Ave.

Long Term Care Dept. S.

Harbor City, CA 90710

Tel: (424) 251-7875

Fax: (424) 251-7523

Allied Health

Professional

Ryan, Timothy M., MD

Anesthesiology

8045 Zuma Dr.

Huntington Beach, CA 92646 Tel: (310) 927-2145

Fax: (866) 594-2890

Membership

Only

Sabet-Peyman, Nina, MD

Palliative Care

PLCMMCT - Palliative Care

4101 Torrance Blvd.

PALLIATIVE CARE DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-6842

Fax:

Provisional

Sachar, Pawani, MD

Teleneurology

Providence Teleneurology

920 Royal Ave.

Medford, OR 97504

Tel: (541) 732-8400

Fax: (541) 732-3407

Limited

Salazar, Jamia R., NP

Nurse Practitioner

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept

Long Beach, CA 90813 Tel: (562) 491-9762

Fax: (562) 491-9264

Allied Health

Professional

Salazar, Susan M., MD

Emergency Medicine

Long Beach Emergency Medical Group

703 Pier Avenue

Hermosa Beach, CA 90254

Tel: (310) 963-1057

Fax:

Active

Page 33: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Sanathara, Visant A., MD

Telepsychiatry

Vituity

2100 Powell St. #900 Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Limited

Santiago, Frederick R., MD

Internal Medicine

Internal Medicine

Optum

3330 Lomita Blvd., Optum 1st Fl.

Torrance, CA 90505

Tel: (310) 325-9110

Fax: (310) 784-4991

Active

Sapkota, Biggya L., MD

Teleneurology

Neurology

Providence Neurological Specialties West

9135 SW Barnes Rd.

#461

Portland, OR 97225

Tel: (503) 216-1150

Fax: (971) 282-0086

Limited

Sarao, Norma M., MD

Hematology Oncology

3440 W. Carson St., #302

Torrance, CA 90503 Tel: (310) 371-2288

Fax: (310) 371-3349

Courtesy

Sarela, Shahruq R., MD

Hospitalist

Internal Medicine

Providence Medical Associates

1300 W 7th St.

San Pedro, CA 90732

Tel: (310) 241-4069

Fax: (310) 514-4330

Active

Sattler, James A., MD

Gastroenterology

Internal Medicine

Digestive Care Consultants

23451 Madison St., #290

Torrance, CA 90505

Tel: (310) 375-1246

Fax: (310) 802-6073

Active

Sawelson, Steven A., MD

Nephrology

Internal Medicine

20911 Earl St., #320

Torrance, CA 90503

Tel: (310) 542-7997

Fax: (310) 542-2607

Courtesy

Schmidt, James A., MD

Family Medicine

1350 W. 6th St., #200

San Pedro, CA 90732

Tel: (310) 832-0686

Fax: (310) 833-6811

Active

Schneider, Joseph V., MD

Anesthesiology

South Bay Anesthesia Medical Group

4101 Torrance Blvd.

ANESTHESIA DEPARTMENT Torrance, CA 90503

Tel: (310) 303-0811

Fax: (310) 303-5369

Provisional

Schoenwetter, Phillip, MD

Family Medicine

222 West 6th Street

Suite 400

San Pedro, CA 90731

Tel: (310) 832-0258

Fax: (866) 973-0831

Membership

Only

Schulz-Costello, Katharine E., DO

General Surgery

City of Hope

5215 Torrance Blvd

Torrance, CA 90503

Tel: (310) 750-1715

Fax: (310) 792-6551

Provisional

Schwartz, Melissa M., CRNA

Nurse Anesthetist

Professional Anesthesia Associates

P.O. Box 6878

San Pedro, CA 90734 Tel:

Fax:

Provisional

AHP

Seckington, Michele, NP

Nurse Practitioner

Emergency Medicine

Long Beach Emergency Medical Group

1300 W. 7th St - ED Dept

San Pedro, CA 90732

Tel: (310) 514-5350

Fax: (310) 548-6409

Allied Health

Professional

Page 34: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Sehgal, Arunpal S., MD

Pulmonary Disease

So.California Intensivists & Pulmonoligist Nework

3621 MLK Jr. Blvd, #6 Lynwood, CA 90262

Tel: (310) 817-6822

Fax: (310) 638-8615

Active

Seigler, David R., MD

Psychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Courtesy

Sepulveda, Ricardo, MD

Anesthesiology

South Bay Anesthesia Medical Group

4101 Torrance Blvd.

ANESTHESIA DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-0811

Fax: (310) 303-5369

Provisional

Shah, Krupa A., MD

Family Medicine

Providence Medical Institute

1294 W. 6th St # 204 San Pedro, CA 90732

Tel: (310) 832-5331

Fax: (310) 521-0139

Active

Shah, Mona S., MD

Internal Medicine

Prime Medical

1600 S. Gaffey Street

San Pedro, CA 90731

Tel: (310) 548-0201

Fax: (310) 548-4492

Courtesy

Shah, Neel, MD

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept

Long Beach, CA 90813

Tel: (562) 491-9762

Fax: (562) 491-9264

Active

Shah, Rahul K., MD

Teleneurology

3838 San Dimas St., Ste A140

Bakersfield, CA 93301

Tel: (661) 632-7126 Fax: (661) 324-3606

Limited

Sharpe, Leilani M., MD

Psychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Provisional

Shaw, Miles, MD Emergency Medicine

Long Beach Emergency Medical Group 1300 W. 7th St.

Emergency Department

San Pedro, CA 90732

Tel: (562) 491-9762

Fax: (562) 491-9264

Active

Shaw, Tristy S., MD

Pediatrics

Providence Medical Associates

520 N. Prospect Ave., #211

Redondo Beach, CA 90277 Tel: (310) 406-2349

Fax: (310) 406-8012

Courtesy

Shea, Sheila S., NP

Nurse Practitioner

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept

Long Beach, CA 90813

Tel: (562) 491-9090

Fax: (562) 491-9264

Allied Health

Professional

Shea, Stephen R., MD Emergency Medicine

Long Beach Emergency Medical Group 1050 Linden Ave - ED Dept

Long Beach, CA 90813

Tel: (562) 491-9762

Fax: (562) 491-9264

Courtesy

Page 35: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Sheety, Steven H., MD

Physical Med & Rehab

1300 W. 7th St - Rehab Ctr.

San Pedro, CA 90732 Tel: (310) 514-5377

Fax: (310) 514-5374

Active

Sherman, Daniel P., PhD

Clinical Psychology

Psychology

PLCMMCSP - Rehab Center

1300 W. 7th St., 3C

San Pedro, CA 90732

Tel: (310) 514-5370

Fax: (310) 514-5374

Allied Health

Professional

Shibata, Lisa, R.N.

LPS Holds (5150)

Psychiatry

Bridges

1300 W. 7th St.

Bridges

San Pedro, CA 90732

Tel: (310) 514-5359

Fax: (310) 514-5432

Allied Health

Professional

Shigyo, Kristina N., MD

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept

Long Beach, CA 90801 Tel: (562) 491-9762

Fax:

Active

Shiozaki, Kenneth T., DO

Family Medicine

Torrance Urgent and Primary Care

2382 Crenshaw Blvd.

Suite 5

Torrance, CA 90501-3333

Tel: UC: (310) 618-9200 PC: (310)782-3366

Fax: (310) 618-1241

Provisional

Shokeen, Madhu, MD

Hospitalist

Internal Medicine

Providence Medical Associates

4101 Torrance Blvd.

PMA DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-6833

Fax: (310) 303-6834

Courtesy

Shue, Daniel S., MD

Gastroenterology

Digestive Care Consultants

23451 Madison St. #290 Torrance, CA 90731

Tel: (310) 375-1246

Fax: (310) 375-0590

Active

Sidhu, Harpreet S., MD

Nephrology

3500 Lomita Blvd.

M100

Torrance, CA 90505

Tel: (310) 517-8578

Fax: (310) 517-8588

Provisional

Silver, Barbara A., MD

Psychiatry

24520 Hawthorne Blvd., # 107

Torrance, CA 90505

Tel: (310) 375-0405

Fax: (310) 375-0243

Active

Siman, Homan, MD

Internal Medicine

1231 N. Avalon Blvd.

Wilmington, CA 90744

Tel: (310) 835-7215 Fax: (310) 835-6520

Courtesy

Singh, Tarvinder P., MD

Teleneurology

1321 Colby

Everett, WA 98201

Tel: (425) 261-4076

Fax: (425) 261-4078

Limited

Sircar, Anita D., MD

Infectious Disease

UCLA

3701 Skypark Dr., Suite 200

Torrance, CA 90505 Tel: (310) 378-8900

Fax: (310) 791-0789

Active

Skyar, Boris M., MD

Pathology

Affiliated Pathologist Medical Group

2374 E. Pacifica Place

Rancho Dominguez, CA 90220

Tel: (310) 225-3221

Fax: (310) 698-7040

Courtesy

Page 36: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Slay Jr., Robert D., MD

Emergency Medicine

1540 Via Zurita

Palos Verdes Estates, CA 90274 Tel: (310) 378-5766

Fax:

Active

Sliskovich, Peter D., MD

Family Medicine

Prime Medical

1366 W. 7th Street

San Pedro, CA 90732

Tel: (310) 833-2461

Fax: (310) 833-6342

Courtesy

Smith, Christopher E., MD

Radiology

Advanced Imaging of the South Bay, Inc.

4101 Torrance Blvd.

IMAGING DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-5750

Fax: (310) 303-5738

Active

Smith, Sheila D., MD

Teleneurology

Providence Teleneurology

550 17th Ave. 402 West

Seattle, WA 98122 Tel: (206) 320-2208

Fax: (206) 320-2451

Limited

Smith, Susan M., R.N.

LPS Holds (5150)

Psychiatry

Bridges

1300 W. 7th St.

Bridges

San Pedro, CA 90732

Tel: (310) 514-5359

Fax: (310) 514-5432

Allied Health

Professional

Sokolov, Karen G., MD

Radiation Oncology

City of Hope

5215 Torrance Boulevard

Torrance, CA 90503

Tel: (310) 750-1715

Fax: (310) 316-9370

Courtesy

Soliman, Nabil K., MD

Hospitalist

Internal Medicine

Optum

3330 Lomita Blvd., Optum 1st Fl.

Torrance, CA 90505 Tel: (310) 214-0811

Fax: (310) 970-1447

Courtesy

Solis-Cohen, Adam P., MD

Internal Medicine

UCLA Hospitalist Service

1250 16th Street #C2304

Santa Monica, CA 90404

Tel: (310) 319-4698

Fax: (310) 206-3260

Active

Solomon, Houman, MD

General Surgery

Association of South Bay Surgeons

23451 Madison St. #340

Torrance, CA 90505

Tel: (310) 373-6864

Fax: (310) 373-6065

Courtesy

Sonka, Sherry E., MD

Physical Med & Rehab

P.O. Box 4245

Redondo Beach, CA 90277

Tel: (310) 303-5902 Fax: (310) 544-4640

Courtesy

Sonnier, Karla B., NP

Nurse Practitioner

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept

Long Beach, CA 90813

Tel: (562) 491-9762

Fax: (562) 491-9264

Provisional

AHP

Sparks, Chad S., MD

Hospitalist Internal Medicine

Optum

3330 W. Lomita Blvd - Optum 1st Fl. Torrance, CA 90505

Tel: (310) 214-0811

Fax: (310) 784-4991

Courtesy

Page 37: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Stamler, Keith, MD

Emergency Medicine

Long Beach Emergency Medical Group

26811 Westvale Rd. Palos Verdes Peninsula, CA 90274

Tel: (310) 544-3535

Fax: (310) 544-4411

Active

Stanczyk, Malgorzata, MD

Bariatric Surgery

432 E. 10th St

Long Beach, CA 90813

Tel: (562) 491-7935

Fax: (562) 491-7940

Provisional

Stein, Alexander G., MD

Thoracic Surgery

Cardiovascular Surgery

8635 W. 3rd St., #865

Los Angeles, CA 90048

Tel: (310) 854-1904

Fax: (310) 347-4222

Active

Stein, Michael Z., MD

Radiology

Advanced Imaging of the South Bay, Inc.

4101 Torrance Blvd.

IMAGING DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-5750 Fax: (310) 303-5738

Active

Steinberg, Jeffrey I., MD

Hospitalist

Internal Medicine

Optum

3330 W. Lomita Blvd - Optum 1st Fl.

Torrance, CA 90505

Tel: (310) 214-0811

Fax: (310) 784-4991

Courtesy

Stephens, Dustin B., MD Psychiatry

Vituity 2100 Powell St. #900

Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Provisional

Stewart, Carrie A., MD

Urology

Advanced Urology Medical Offices

8540 S. Sepulveda Blvd., Suite 911

Los Angeles, CA 90045

Tel: (310) 670-9119

Fax: (310) 670-7275

Provisional

Sulindro, Adrian D., MD

Pain Management

Biohealth Pain Management

15901 Hawthorne Blvd. Suite 240

Lawndale, CA 90260

Tel: (424) 360-0066

Fax: (424) 360-0077

Provisional

Sullivan, Richard R., MD

Radiology Neuroradiology

Advanced Imaging of the South Bay, Inc.

4101 Torrance Blvd. IMAGING DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-5750

Fax: (310) 303-5738

Active

Sun, Christopher, MD

Hospitalist

Internal Medicine

Providence Medical Associates

4101 Torrance Blvd.

PMA DEPARTMENT

Torrance, CA 90503 Tel: (310) 376-8816

Fax: (310) 374-2806

Provisional

Sutherland, Randal M., MD

Radiology

Advanced Imaging of the South Bay, Inc.

4101 Torrance Blvd.

IMAGING DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-5750

Fax: (310) 303-5738

Active

Suzuki, Stacy M., PAC

Physician Assistant

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept

Long Beach, CA 90813

Tel: (562) 491-9762

Fax: (562) 491-9264

Provisional

AHP

Page 38: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Sze, Gloria S., MD

Gastroenterology Internal Medicine

South Bay Gastroenterology Medical Group

23456 Hawthorne Blvd. Suite 300 Torrance, CA 90505

Tel: (310) 539-2055

Fax: (310) 539-0199

Courtesy

Tadikonda, Mohan, MD

Neurology

P.O. Box 6007

Long Beach, CA 90806

Tel: (562) 365-3022

Fax: (888) 596-7302

Active

Taha, Nima, MD

Hospitalist

Internal Medicine

Providence Medical Associates

4101 Torrance Blvd.

PMA DEPARTMENT

Torrance, CA 90503

Tel: (310) 303-6833

Fax: (310) 303-6834

Courtesy

Takahashi, Ai J., MD

Hospitalist

Internal Medicine

Optum

3330 W. Lomita Blvd - Optum 1st Fl.

Torrance, CA 90505 Tel: (310) 214-0811

Fax: (310) 784-4991

Provisional

Takemoto, Andrea S., MD

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept

Long Beach, CA 90813

Tel: (562) 491-9762

Fax: (562) 491-9264

Provisional

Takher, Ellen S., MD

Telepsychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Limited

Tam Singer, Diane, MD

Pathology

Affiliated Pathologist Medical Group

PLCMMCT - Path. Dept.

Tel: (310) 303-6970 Fax: (310) 303-6922

Courtesy

Tang, Angela W., MD

Internal Medicine

Internal Medicine

Optum

19191 S. Vermont Ave. 2nd Floor

#200

Torrance, CA 90502

Tel: (866) 519-5006

Fax: (310) 793-3596

Courtesy

Tanios, Maged A., MD

Pulmonary/Critical Care

So.California Intensivists & Pulmonoligist Nework

3605 Long Beach Blvd. #405

Long Beach, CA 90807

Tel: (562) 424-8000

Fax: (562) 424-8006

Active

Taub, Morris, MD

Gastroenterology

Internal Medicine

658 W. 7th St.

San Pedro, CA 90731

Tel: (310) 832-1152 Fax: (310) 832-3398

Active

Taylor, Morgan L., MD

Gynecology Oncology

23600 Telo Ave #250

Torrance, CA 90505

Tel: (901) 517-7499

Fax: (949) 642-1394

Courtesy

Tchekmedyian, Nishan, MD

Hematology/Oncology

Pacific Shores Medical Group

19582 Beach Blvd. #212

Huntington Beach, CA 92648 Tel: (714) 252-9415

Fax: (714) 963-8407

Provisional

Temelkovska, Vesna A., MD

Anesthesiology

Integrated Anesthesia Medical Group

898 N. Pacific Coast Hwy, Suite 600

El Segundo, CA 90245

Tel: (310) 698-5452

Fax: (310) 379-4856

Active

Page 39: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Thai, Divya, MD

Hospitalist Pulmonary Disease

Optum

3565 Del Amo Blvd. Torrance, CA 90503

Tel: (310) 793-4628

Fax: (310) 793-4662

Courtesy

Thapar, Akshay K., MD

Emergency Medicine

Southern California Emergency Medical Group

1300 West 7th Street

San Pedro, CA 90732

Tel: (424) 570-5970

Fax:

Active

Thomas, Kiron, MD

Teleneurology

800 5th Avenue, Suite 900

Seattle, WA 98104

Tel: (206) 425-3183

Fax: (206) 829-4957

Limited

Thomson Treat, Ruth M., DO

Teleneurology

800 5th Avenue

Suite 900

Seattle, WA 98104

Tel: (425) 525-5961 Fax: (206) 829-4957

Limited

Thygeson, Cindy Y., MD

Telepsychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Limited

Tomasic, Nickolas A., MD Urology

Advanced Urology Medical Offices 8540 S. Sepulveda Blvd., Suite 911

Los Angeles, CA 90045

Tel: (310) 670-9119

Fax: (310) 670-7275

Courtesy

Toohey, Tara P., MD

Telepsychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Limited

Towle, Daryn C., MD

Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept

Long Beach, CA 90813

Tel: (562) 491-9762

Fax: (562) 491-9264

Provisional

Tran, Timothy T., MD

Gastroenterology Internal Medicine

Digestive Care Consultants

23451 Madison St., #290 Torrance, CA 90505

Tel: (310) 375-1246

Fax: (310) 375-0590

Active

Traughber, Christopher W., MD

Family Medicine

Palos Verdes Family and Immediate Medical Care

26516 Crenshaw Blvd.

Palos Verdes Penn., CA 90274

Tel: (310) 541-7911

Fax: (310) 541-2953

Courtesy

Tsai, Eugene W., MD

Allergy and Immunology

1360 W. 6th St., #310

San Pedro, CA 90732

Tel: (562) 865-2402

Fax: (562) 865-6621

Courtesy

Tsao Jr., John M., MD

Hospitalist

Internal Medicine

Optum

3330 Lomita Blvd., Optum 1st Fl.

Torrance, CA 90505

Tel: (310) 214-0811 Fax: (310) 784-4991

Courtesy

Udokwu, Adaobi N., MD

Geriatrics

Internal Medicine

Kaiser Permanente South Bay

25825 S. Vermont Avenue

Long Term Care Dept

Harbor City, CA 90710

Tel: (424) 251-7588

Fax: (424) 251-7523

Courtesy

Page 40: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Usman, Nudrat N., MD

Hospitalist Internal Medicine

Providence Medical Associates

4101 Torrance Blvd. Torrance, CA 90503

Tel: (310) 374-8191

Fax: (310) 303-6834

Active

Vazirian, Mohsen, MD

Telepsychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Limited

Villanueva, Mirko, MD

Hospitalist

Pulmonary/Critical Care

Healthcare Partners Medical Group

3565 Del Amo Blvd

Torrance, CA 90503

Tel: (310) 793-4628

Fax: (310) 793-4662

Courtesy

Virgin, Jeffrey B., MD

Pathology

Affiliated Pathologist Medical Group

2374 E Pacific Place

Rancho Dominguez, CA 90220 Tel: (310) 225-3244

Fax: (310) 698-7040

Provisional

Von Hagen, Erik D., MD

Hospitalist

Internal Medicine

Providence Medical Associates

1300 W 7th St.

San Pedro, CA 90732

Tel: (310) 241-4069

Fax: (310) 514-4330

Active

Vu, Bach T., MD

TeleRadiology

2651 Walnut Avenue

Signal Hill, CA 90755

Tel: (562) 912-2507

Fax:

Limited

Waddington, Leslie R., R.N.

LPS Holds (5150)

Bridges

1300 W. 7th St.

San Pedro, CA 90732

Tel: (310) 514-5359

Fax: (310) 514-5432

Provisional

AHP

Wagman, Lawrence D., MD

General Surgery

City of Hope Medical Foundation

7777 Milliken Ave Ste 110

Rancho Cucamonga, CA 91730

Tel: (909) 949-2242

Fax: (909) 920-9863

Provisional

Wagner, Jeffrey C., MD

Teleneurology

Northwest Stroke Solutions

499 E. Hampden Avenue, #360 Blue Sky Neurology

Englewood, CO 80113

Tel: (303) 781-4485

Fax: (720) 274-0064

Limited

Wagoner, Genesa R., MD

Pediatrics

Pediatrics

Providence Medical Institute

1294 W. 6th St., #104

San Pedro, CA 90731

Tel: (310) 548-9118 Fax: (310) 548-1310

Active

Wahidi, Nasratullah, MD

Telepsychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Limited

Walker, Kolby, DO

Telepsychiatry

Vituity

2100 Powell St. #400 Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Limited

Telehealth

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Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Walz, Elizabeth T., MD

Teleneurology

Providence Teleneurology

105 W. 8th Ave. Spokane, WA 99204-2302

Tel: (509) 474-2894

Fax: (509) 474-2895

Limited

Wang, Amy Q., MD

Hematology/Oncology

3475 Torrance Blvd., Suite G

Torrance, CA 90503

Tel: (310) 316-0189

Fax: (310) 316-0195

Provisional

Webman, Robert M., MD

Gastroenterology

4305 Torrance Blvd., #406

Torrance, CA 90503

Tel: (310) 542-5800

Fax: (310) 542-5834

Active

Weinman, Tay J., MD

Ophthalmology

571 W. 7th St.

San Pedro, CA 90731

Tel: (310) 833-1327

Fax: (310) 833-0698

Courtesy

Weiss, Debbie F., R.N.

LPS Holds (5150)

Psychiatry

Bridges

1300 W. 7th St.

Bridges

San Pedro, CA 90732

Tel: (310) 514-5359

Fax: (310) 514-5432

Allied Health

Professional

Wen, Johnny H., PhD

Clinical Psychology Psychology

3858 Carson St., #121

Torrance, CA 90503 Tel: (310) 540-4094

Fax: (424) 201-5707

Allied Health

Professional

Weng, Victor K., DO

Internal Medicine

Kaiser Permanente South Bay

25825 S. Vermont Ave.

Harbor City, CA 90710

Tel: (310) 325-5111

Fax: (562) 986-2202

Limited

White, Corey R., DO Teleneurology

615 Lilly Road NE, Suite #220 Olympia, WA 98506

Tel: (360) 486-6150

Fax: (360) 486-6155

Limited

Williams, Danier A., R.N.

LPS Holds (5150)

Psychiatry

1300 W. 7th St - Bridges

San Pedro, CA 90732

Tel: (310) 514-5359

Fax: (310) 514-5432

Allied Health

Professional

Wilson, Edward J., MD

Hospitalist

Internal Medicine

Optum

3330 Lomita Blvd., Optum 1st Fl.

Torrance, CA 90505

Tel: (310) 214-0811

Fax: (310) 784-4991

Courtesy

Wilson, Sharlena P., MD

Psychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062 Tel: (510) 350-2600

Fax: (510) 597-2900

Provisional

Wittner, Richard S., MD

Pediatric Cardiology

Pediatrics

2865 Atlantic Ave., #149

Long Beach, CA 90806

Tel: (562) 595-1879

Fax: (562) 595-0135

Courtesy

Woelffer, Angela, NP

Nurse Practitioner Emergency Medicine

Long Beach Emergency Medical Group

1050 Linden Ave - ED Dept Long Beach, CA 90801

Tel: (562) 491-9762

Fax: (562) 491-9264

Allied Health

Professional

Wong, Connie L., DPM

Podiatry

1703 Termino Ave. #103

Long Beach, CA 90804

Tel: (562) 597-5100

Fax: (562) 597-5165

Courtesy

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Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Wong, David J., MD

Dermatology

Direct Dermatology

530 Lytton Ave., 2nd Floor Palo Alto, CA 94301

Tel: (855) 944-7546

Fax: (800) 572-0683

Limited

Wong, Michelle K., MD

Hospitalist

Internal Medicine

Optum

3330 Lomita Blvd.

Optum Off, 1st Floor

Torrance, CA 90505

Tel: (310) 214-0811 Fax: (310) 784-4991

Provisional

Wong, Steven G., MD

Hospitalist

Internal Medicine

Optum

3330 Lomita Blvd., Optum 1st Fl.

Torrance, CA 90505

Tel: (310) 214-0811

Fax: (310) 784-4991

Active

Wyman, Ray M., MD

Cardiology Internal Medicine

COR Healthcare Medical Associates

2841 Lomita Blvd. Suite 100

Torrance, CA 90505

Tel: (310) 257-0508

Fax: (310) 325-8109

Courtesy

Yamamoto, Jon Y., MD

Neonatology

Pediatrix Medical Group, Inc.

4101 Torrance Blvd.

NICU DEPARTMENT

Torrance, CA 90503 Tel: (310) 303-6318

Fax: (310) 303-5871

Courtesy

Yanami, Yuichi E., MD

Palliative Care

Providence Trinity Care Hospice

5315 Torrance Blvd Suite B-2

Torrance, CA 90503

Tel: (800) 829-8660

Fax: (310) 543-7283

Courtesy

Yang, Bryan K., MD Telepsychiatry

Vituity 2100 Powell St. #900

Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Limited

Yang, Eric S., MD

Infectious Disease

Internal Medicine

ID Med, A Medical Corporation

23430 Hawthorne Blvd., Suite 200

Torrance, CA 90505

Tel: (310) 784-5880 Fax: (310) 325-3117

Active

Yang, Ted P., MD

Cardiovascular Disease

Internal Medicine

Advanced CardioHealth

4305 Torrance Blvd Suite 505

Torrance, CA 90503

Tel: (310) 355-8488

Fax: (949) 276-3213

Courtesy

Yazdany, Mahdi, MD Nephrology

Internal Medicine and Nephrology Medical Group 2841 Lomita Blvd. Suite 215

Torrance, CA 90505

Tel: (310) 379-2860

Fax: (310) 325-1144

Courtesy

Yoon, Aeree, MD

Internal Medicine

Providence Medical Institute

1499 W. 1st St.

San Pedro, CA 90732

Tel: (310) 831-9482

Fax: (310) 831-1230

Provisional

Younes, Basil, DO

Cardiology

Internal Medicine

Valley Cardiology and Vascular Associates, Inc.

4201 Torrance Blvd. Suite 420

Torrance, CA 90503

Tel: (310) 540-1953

Fax: (310) 792-1974

Courtesy

Page 43: Providence Little Company of Mary Medical Center San Pedro ... · 1700 E. Cesar Chavez Ave. #3500 Los Angeles, CA 90033 Tel: (323) 264-0430 Fax: (323) 264-2354 Provisional Banuelos,

Providence Little Company of Mary Medical Center San Pedro

Medical Staff Roster

Updated November 2, 2020

Young-Nguyen, Serena, MD

Orthopedic Surgery

Orthopaedic Specialties Associates

4201 Torrance Blvd. #190 Torrance, CA 90503

Tel: (310) 543-2521

Fax: (310) 543-9352

Provisional

Youssef, Fady A., MD

Pulmonary/Critical Care

So.California Intensivists & Pulmonoligist Nework

3605 Long Beach Blvd. #405

Long Beach, CA 90807

Tel: (562) 424-8000

Fax: (562) 424-8006

Courtesy

Zaidel, Oren, MD

Gastroenterology

Internal Medicine

South Bay Gastroenterology Medical Group

23456 Hawthorne Blvd. Suite 300

Torrance, CA 90505

Tel: (310) 539-2055

Fax: (310) 539-0199

Courtesy

Zamora, Jesus G., MD

TeleRadiology

Rad Image Medical Group, Inc

4241 Long Beach Blvd

Long Beach, CA 90807 Tel: (562) 912-2507

Fax: (562) 912-2507

Limited

Zayek, Christian, MD

Hospitalist

Internal Medicine

Optum

3330 Lomita Blvd.

Optum Off, 1st Floor

Torrance, CA 90505

Tel: (310) 214-0811

Fax: (310) 784-4991

Provisional

Zhu, Weiguo, MD

Psychiatry

Vituity

2100 Powell St. #900

Emeryville, CA 97062

Tel: (510) 350-2600

Fax: (510) 597-2900

Active

Ziegner, Ulrike H., MD

Pediatric Allergy and Immunology

1970 S. Prospect St., Suite 3

Redondo Beach, CA 90277

Tel: (310) 792-9050 Fax: (310) 792-9048

Courtesy

Zouein, Elie, MD

Pulmonary/Critical Care

So.California Intensivists & Pulmonoligist Nework

3605 Long Beach Blvd. #405

Long Beach, CA 90807

Tel: (562) 424-8000

Fax: (562) 424-8006

Provisional

Zurasky, John F., MD Teleneurology

Neurology

9135 SW Barnes Rd. Suite 461

Portland, OR 97225

Tel: (503) 216-1150

Fax: (503) 215-8585

Limited