Medical school: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated: 2017
Offers telehealth
NPI: 1689176109
Practice Locations (1)
PROVIDENCE MEDICAL FOUNDATION
845 W LA VETA AVE, SUITE 101
ORANGE, CA 928683930
7142896577
Source: CMS National Downloadable File, September 2026.