Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 1980
Offers telehealth
NPI: 1811973860
Practice Locations (4)
PROVIDENCE MEDICAL FOUNDATION
100 E VALENCIA MESA DR, SUITE 105
FULLERTON, CA 928353816
7148713006
PROVIDENCE MEDICAL FOUNDATION
1950 SUNNY CREST DR, SUITE 2900
FULLERTON, CA 928353641
7149925350
PROVIDENCE MEDICAL FOUNDATION
27700 MEDICAL CTR RD
MISSION VIEJO, CA 926916426
9493641400
PROVIDENCE MEDICAL FOUNDATION
27799 MEDICAL CTR RD
MISSION VIEJO, CA 926916400
Source: CMS National Downloadable File, September 2026.