Medical school: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1994
Offers telehealth
NPI: 1073543146
Practice Locations (3)
PROVIDENCE MEDICAL FOUNDATION
253 S DIAMOND BAR BLVD
DIAMOND BAR, CA 917651606
9098601144
PROVIDENCE MEDICAL FOUNDATION
1950 SUNNY CREST DR
FULLERTON, CA 928353644
PROVIDENCE MEDICAL FOUNDATION
1950 SUNNY CREST DR, SUITE 2900
FULLERTON, CA 928353641
7149925350
Source: CMS National Downloadable File, September 2026.