Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1962591198
Practice Locations (5)
PROVIDENCE MEDICAL FOUNDATION
1950 SUNNY CREST DR, SUITE 2900
FULLERTON, CA 928353641
7149925350
PROVIDENCE MEDICAL FOUNDATION
134000 JAMBOREE RD
IRVINE, CA 926022308
7142639279
PROVIDENCE MEDICAL FOUNDATION
2501 E CHAPMAN AVE
ORANGE, CA 928693204
7146337175
PROVIDENCE MEDICAL FOUNDATION
2212 E 4TH ST
SANTA ANA, CA 927053870
7146331011
PROVIDENCE MEDICAL FOUNDATION
1095 IRVINE BLVD
TUSTIN, CA 927803526
7145057110
Source: CMS National Downloadable File, September 2026.