Graduated: 1998
Offers telehealth
NPI: 1790731776
Practice Locations (5)
PROVIDENCE MEDICAL FOUNDATION
955 W IMPERIAL HWY
BREA, CA 928213812
PROVIDENCE MEDICAL FOUNDATION
955 W IMPERIAL HWY, SUITE 110
BREA, CA 928213814
7144496900
PROVIDENCE MEDICAL FOUNDATION
1835 SUNNY CREST DR
FULLERTON, CA 928353616
7144465101
PROVIDENCE MEDICAL FOUNDATION
1837 SUNNY CREST DR
FULLERTON, CA 928353616
7144465831
PROVIDENCE MEDICAL FOUNDATION
1950 SUNNY CREST DR, SUITE 2900
FULLERTON, CA 928353641
7149925350
Source: CMS National Downloadable File, September 2026.