Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 2005
Offers telehealth
NPI: 1396953105
Practice Locations (6)
PROVIDENCE MEDICAL FOUNDATION
955 W IMPERIAL HWY, SUITE 110
BREA, CA 928213814
7144496900
PROVIDENCE MEDICAL FOUNDATION
1514 VALLEY VISTA DR
DIAMOND BAR, CA 917653929
9098601144
PROVIDENCE MEDICAL FOUNDATION
253 S DIAMOND BAR BLVD
DIAMOND BAR, CA 917651606
9098601144
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
134000 JAMBOREE RD
IRVINE, CA 926022308
7142639279
Source: CMS National Downloadable File, September 2026.