Medical school: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated: 1995
Offers telehealth
NPI: 1992783633
Practice Locations (5)
PROVIDENCE MEDICAL FOUNDATION
100 E VALENCIA MESA DR, SUITE 105
FULLERTON, CA 928353816
7148713006
PROVIDENCE MEDICAL FOUNDATION
1950 SUNNY CREST DR, SUITE 2900
FULLERTON, CA 928353641
7149925350
PROVIDENCE MEDICAL FOUNDATION
24321 AVENIDA DE LA CARLOTA
LAGUNA HILLS, CA 926533681
9492043006
PROVIDENCE MEDICAL FOUNDATION
395 W AVENIDA VISTA HERMOSA
SAN CLEMENTE, CA 926727720
9493042117
PROVIDENCE MEDICAL FOUNDATION
831 VIA SUERTE, SUITE 102
SAN CLEMENTE, CA 926736531
9493645600
Source: CMS National Downloadable File, September 2026.