Medical school: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated: 1993
Also: INTERNAL MEDICINE
Offers telehealth
NPI: 1114962610
Practice Locations (5)
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
26800 CROWN VALLEY PKWY
MISSION VIEJO, CA 926918038
PROVIDENCE MEDICAL FOUNDATION
27700 MEDICAL CTR RD
MISSION VIEJO, CA 926916426
9493641400
PROVIDENCE MEDICAL FOUNDATION
27799 MEDICAL CTR RD
MISSION VIEJO, CA 926916400
Source: CMS National Downloadable File, September 2026.