Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1993
Offers telehealth
NPI: 1104921402
Practice Locations (4)
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
395 W AVENIDA VISTA HERMOSA
SAN CLEMENTE, CA 926727720
9493042117
Source: CMS National Downloadable File, September 2026.