Graduated: 2023
NPI: 1730813205
Practice Locations (6)
PROVIDENCE MEDICAL FOUNDATION
200 W CTR ST PROMENADE
ANAHEIM, CA 928053960
PROVIDENCE MEDICAL FOUNDATION
2700 DOLBEER ST
EUREKA, CA 955014736
7074458121
PROVIDENCE MEDICAL FOUNDATION
2710 DOLBEER ST
EUREKA, CA 955014736
7072672060
PROVIDENCE MEDICAL FOUNDATION
2826 HARRIS ST
EUREKA, CA 955034809
7074438066
PROVIDENCE MEDICAL FOUNDATION
3300 RENNER DR
FORTUNA, CA 955403120
7077253361
PROVIDENCE MEDICAL FOUNDATION
500 DOYLE PARK DR
SANTA ROSA, CA 954054559
Source: CMS National Downloadable File, September 2026.