Medical school: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated: 1991
Offers telehealth
NPI: 1821053984
Practice Locations (4)
PROVIDENCE MEDICAL FOUNDATION
200 W CTR ST PROMENADE
ANAHEIM, CA 928053960
PROVIDENCE MEDICAL FOUNDATION
3200 WALFORD AVE
EUREKA, CA 955034828
7074453443
PROVIDENCE MEDICAL FOUNDATION
3200 WALFORD AVE, SUITE A
EUREKA, CA 955034828
7074434869
PROVIDENCE MEDICAL FOUNDATION
500 DOYLE PARK DR
SANTA ROSA, CA 954054559
Source: CMS National Downloadable File, September 2026.