Medical school: DREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2012
NPI: 1841555976
Practice Locations (2)
PROVIDENCE MEDICAL FOUNDATION
1950 SUNNY CREST DR, SUITE 2900
FULLERTON, CA 928353641
7149925350
PROVIDENCE MEDICAL FOUNDATION
1100 W STEWART DR
ORANGE, CA 928683849
7146339111
Source: CMS National Downloadable File, September 2026.