Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 2014
Offers telehealth
NPI: 1396164356
Practice Locations (3)
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
1095 IRVINE BLVD
TUSTIN, CA 927803526
7145057110
Source: CMS National Downloadable File, September 2026.