Graduated: 1982
Offers telehealth
NPI: 1780684910
Practice Locations (4)
PROVIDENCE MEDICAL FOUNDATION
19333 BEAR VALLEY RD
APPLE VALLEY, CA 923085149
PROVIDENCE MEDICAL FOUNDATION
17043 MAIN ST
HESPERIA, CA 923456055
7602416666
PROVIDENCE MEDICAL FOUNDATION
17095 MAIN ST
HESPERIA, CA 923456004
7602416666
PROVIDENCE MEDICAL FOUNDATION
500 DOYLE PARK DR
SANTA ROSA, CA 954054559
Source: CMS National Downloadable File, September 2026.