Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1467663666
Practice Locations (2)
PROVIDENCE MEDICAL FOUNDATION
1950 SUNNY CREST DR, SUITE 2900
FULLERTON, CA 928353641
7149925350
PROVIDENCE MEDICAL FOUNDATION
2501 E CHAPMAN AVE
ORANGE, CA 928693204
7146337175
Source: CMS National Downloadable File, September 2026.