Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2002
Offers telehealth
NPI: 1356469266
Practice Locations (5)
PROVIDENCE MEDICAL FOUNDATION
1950 SUNNY CREST DR, SUITE 2900
FULLERTON, CA 928353641
7149925350
PROVIDENCE MEDICAL FOUNDATION
26732 CROWN VALLEY PKWY
MISSION VIEJO, CA 926916337
PROVIDENCE MEDICAL FOUNDATION
27700 MEDICAL CTR RD
MISSION VIEJO, CA 926916426
9493641400
PROVIDENCE MEDICAL FOUNDATION
2501 E CHAPMAN AVE
ORANGE, CA 928693204
7146337175
PROVIDENCE MEDICAL FOUNDATION
395 W AVENIDA VISTA HERMOSA
SAN CLEMENTE, CA 926727720
9493042117
Source: CMS National Downloadable File, September 2026.