Graduated: 1989
NPI: 1033320148
Practice Locations (4)
PROVIDENCE MEDICAL FOUNDATION
100 E VALENCIA MESA DR, SUITE 105
FULLERTON, CA 928353816
7148713006
PROVIDENCE MEDICAL FOUNDATION
1950 SUNNY CREST DR, SUITE 2900
FULLERTON, CA 928353641
7149925350
PIH HEALTH PHYSICIANS
12675 LA MIRADA BLVD, SUITE 201AND401
LA MIRADA, CA 906382200
5629037339
PIH HEALTH PHYSICIANS
12400 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 906704750
5629672820
Source: CMS National Downloadable File, September 2026.