Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2022
Offers telehealth
NPI: 1255081782
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
27231 LA PAZ RD, SUITE A
LAGUNA NIGUEL, CA 926773627
9496439111
PROVIDENCE MEDICAL FOUNDATION
26800 CROWN VALLEY PKWY
MISSION VIEJO, CA 926916384
Source: CMS National Downloadable File, September 2026.