Medical school: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated: 2021
NPI: 1578143194
Practice Locations (1)
PROVIDENCE MEDICAL FOUNDATION
26800 CROWN VALLEY PKWY, SUITE 525
MISSION VIEJO, CA 926918029
9493641040
Source: CMS National Downloadable File, September 2026.