Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1993
Offers telehealth
NPI: 1720019904
Practice Locations (3)
PROVIDENCE MEDICAL FOUNDATION
26795 PORTOLA PKWY
FOOTHILL RANCH, CA 926101713
9498299403
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.