Medical school: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated: 1995
Offers telehealth
NPI: 1144225301
Practice Locations (6)
PROVIDENCE MEDICAL FOUNDATION
200 W CTR ST PROMENADE
ANAHEIM, CA 928053960
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
1100 W STEWART DR
ORANGE, CA 928683849
7146339111
PROVIDENCE MEDICAL FOUNDATION
1140 W LA VETA AVE, SUITE 430
ORANGE, CA 928684226
7145435555
PROVIDENCE MEDICAL FOUNDATION
1140 W LA VETA AVE, SUITE 770
ORANGE, CA 928684229
7148358715
Source: CMS National Downloadable File, September 2026.