Medical school: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated: 1995
Offers telehealth
NPI: 1831127497
Practice Locations (5)
PROVIDENCE MEDICAL FOUNDATION
26795 PORTOLA PKWY
FOOTHILL RANCH, CA 926101713
9498299403
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
24321 AVENIDA DE LA CARLOTA
LAGUNA HILLS, CA 926533681
9492043006
PROVIDENCE MEDICAL FOUNDATION
27231 LA PAZ RD, SUITE A
LAGUNA NIGUEL, CA 926773627
9496439111
Source: CMS National Downloadable File, September 2026.