Medical school: WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated: 2008
Offers telehealth
NPI: 1790940203
Practice Locations (4)
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
1950 SUNNY CREST DR, SUITE 2900
FULLERTON, CA 928353641
7149925350
PROVIDENCE MEDICAL FOUNDATION
1201 W WHITTIER BLVD
LA HABRA, CA 906313610
5626976030
Source: CMS National Downloadable File, September 2026.