Medical school: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated: 1982
Offers telehealth
NPI: 1548200686
Practice Locations (3)
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
27231 LA PAZ RD, SUITE A
LAGUNA NIGUEL, CA 926773627
9496439111
Source: CMS National Downloadable File, September 2026.