Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1989
Offers telehealth
NPI: 1003809963
Practice Locations (6)
PROVIDENCE MEDICAL FOUNDATION
1950 SUNNY CREST DR, SUITE 2900
FULLERTON, CA 928353641
7149925350
PROVIDENCE MEDICAL FOUNDATION
24321 AVENIDA DE LA CARLOTA
LAGUNA HILLS, CA 926533681
9492043006
PROVIDENCE MEDICAL FOUNDATION
26800 CROWN VALLEY PKWY
MISSION VIEJO, CA 926916384
PROVIDENCE MEDICAL FOUNDATION
28881 AIROSO ST
RANCHO MISSION VIEJO, CA 926942487
9493041716
PROVIDENCE MEDICAL FOUNDATION
395 W AVENIDA VISTA HERMOSA
SAN CLEMENTE, CA 926727720
9493042117
PROVIDENCE MEDICAL FOUNDATION
831 VIA SUERTE, SUITE 102
SAN CLEMENTE, CA 926736531
9493645600
Source: CMS National Downloadable File, September 2026.