Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2017
NPI: 1750818357
Practice Locations (2)
PROVIDENCE MEDICAL FOUNDATION
101 LAGUNA RD, SUITE 100
FULLERTON, CA 928353601
7149925350
PROVIDENCE MEDICAL FOUNDATION
1950 SUNNY CREST DR, SUITE 2900
FULLERTON, CA 928353641
7149925350
Source: CMS National Downloadable File, September 2026.