Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1976
Offers telehealth
NPI: 1982793808
Practice Locations (4)
PROVIDENCE MEDICAL FOUNDATION
200 W CTR ST PROMENADE
ANAHEIM, CA 928053960
PROVIDENCE MEDICAL FOUNDATION
1165 MONTGOMERY DR
SANTA ROSA, CA 954054801
7075463210
PROVIDENCE MEDICAL FOUNDATION
3555 ROUND BARN CIR
SANTA ROSA, CA 954031757
7075281050
PROVIDENCE MEDICAL FOUNDATION
500 DOYLE PARK DR
SANTA ROSA, CA 954054559
Source: CMS National Downloadable File, September 2026.