Graduated: 1992
Also: INTERNAL MEDICINE
NPI: 1932168796
Practice Locations (2)
PROVIDENCE MEDICAL FOUNDATION
2752 HARRISON AVE, SUITE A
EUREKA, CA 955014738
7144494800
17400 IRVINE BLVD, SUITE F
TUSTIN, CA 927803030
7149379400
Source: CMS National Downloadable File, September 2026.