Medical school: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated: 1982
Also: INTERNAL MEDICINE
NPI: 1104803188
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
PROVIDENCE MEDICAL FOUNDATION
26800 CROWN VALLEY PKWY
MISSION VIEJO, CA 926916384
PROVIDENCE MEDICAL FOUNDATION
1100 W STEWART DR
ORANGE, CA 928683849
7146339111
Source: CMS National Downloadable File, September 2026.