Graduated: 2020
Offers telehealth
NPI: 1639776503
Practice Locations (2)
PROVIDENCE MEDICAL FOUNDATION
1950 SUNNY CREST DR, SUITE 2900
FULLERTON, CA 928353641
7149925350
PROVIDENCE MEDICAL FOUNDATION
2212 E 4TH ST
SANTA ANA, CA 927053870
7146331011
Source: CMS National Downloadable File, September 2026.