Graduated: 2022
Offers telehealth
NPI: 1275259814
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
32341 GOLDEN LANTERN, SUITE D
LAGUNA NIGUEL, CA 926775343
9493639595
PROVIDENCE MEDICAL FOUNDATION
395 W AVENIDA VISTA HERMOSA
SAN CLEMENTE, CA 926727720
9493042117
Source: CMS National Downloadable File, September 2026.