Graduated: 2024
NPI: 1720829294
Practice Locations (2)
EXPRESS WALK-IN CLINIC
18182 US HWY 18, SUITE 106
APPLE VALLEY, CA 923072200
7605154003
PROVIDENCE MEDICAL FOUNDATION
19333 BEAR VALLEY RD, SUITE 205
APPLE VALLEY, CA 923085150
7602416666
Source: CMS National Downloadable File, September 2026.