Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2006
Also: FAMILY PRACTICE
NPI: 1861662553
Practice Locations (2)
PROVIDENCE MEDICAL FOUNDATION
200 W CTR ST PROMENADE
ANAHEIM, CA 928053960
PROVIDENCE MEDICAL FOUNDATION
1950 SUNNY CREST DR, SUITE 2900
FULLERTON, CA 928353641
7149925350
Source: CMS National Downloadable File, September 2026.