Graduated: 1981
Offers telehealth
NPI: 1679534796
Practice Locations (6)
PROVIDENCE MEDICAL FOUNDATION
3300 RENNER DR
FORTUNA, CA 955403120
7077253361
SCKE INC
23141 MOULTON PKWY, SUITE 102
LAGUNA HILLS, CA 926531241
9499169100
SADDLEBACK MEDICAL GROUP INC
24221 CALLE DE LA LOUISA, SUITE 400
LAGUNA HILLS, CA 926537632
9494658155
PROVIDENCE MEDICAL FOUNDATION
500 DOYLE PARK DR
SANTA ROSA, CA 954054559
ST CLOUD HOSPITAL
1406 6TH AVE N
SAINT CLOUD, MN 563031900
3202512700
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
3 RICHLAND MEDICAL PARK DR, SUITE 120
COLUMBIA, SC 292036850
8034348866
Source: CMS National Downloadable File, September 2026.