Graduated: 2001
Also: INTERNAL MEDICINE
NPI: 1043426265
Practice Locations (2)
PROVIDENCE MEDICAL FOUNDATION
2773 HARRIS ST, SUITE A
EUREKA, CA 955034866
7072672070
DIGNITY HEALTH MEDICAL FOUNDATION
2780 EUREKA WAY
REDDING, CA 960010223
5302290360
Source: CMS National Downloadable File, September 2026.