Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1275582066
Practice Locations (3)
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
27700 MEDICAL CTR RD
MISSION VIEJO, CA 926916426
9493641400
Source: CMS National Downloadable File, September 2026.