Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2018
NPI: 1952861676
Practice Locations (2)
PROVIDENCE MEDICAL FOUNDATION
5630 E SANTA ANA CANYON RD
ANAHEIM, CA 928073122
7146022400
CORNERHEALTH MEDICAL GROUP INC
2077 HARBOR BLVD, SUITE 100
COSTA MESA, CA 926279384
9497407117
Source: CMS National Downloadable File, September 2026.