Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1477612117
Practice Locations (2)
PROVIDENCE MEDICAL FOUNDATION
2700 DOLBEER ST
EUREKA, CA 955014736
7074458121
CITY OF HOPE MEDICAL FOUNDATION
1000 FIVEPOINT
IRVINE, CA 926182377
9496714673
Source: CMS National Downloadable File, September 2026.