Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1986
NPI: 1891708806
Practice Locations (4)
FORTUNA FAMILY MEDICINE INC
2404 NEWBURG RD
Fortuna, CA 955402818
FORTUNA FAMILY MEDICINE INC
2404 NEWBURG RD
FORTUNA, CA 955402818
PROVIDENCE MEDICAL FOUNDATION
3300 RENNER DR
FORTUNA, CA 955403120
7077253361
PROVIDENCE MEDICAL FOUNDATION
500 DOYLE PARK DR
SANTA ROSA, CA 954054559
Source: CMS National Downloadable File, September 2026.