Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2019
Offers telehealth
NPI: 1346709102
Practice Locations (5)
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
2501 E CHAPMAN AVE
ORANGE, CA 928693204
7146337175
PROVIDENCE MEDICAL FOUNDATION
845 W LA VETA AVE
ORANGE, CA 928683930
PROVIDENCE MEDICAL FOUNDATION
2212 E 4TH ST
SANTA ANA, CA 927053870
7146331011
Source: CMS National Downloadable File, September 2026.