Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2017
NPI: 1790202141
Practice Locations (4)
PROVIDENCE MEDICAL FOUNDATION
18300 US HWY 18
APPLE VALLEY, CA 923072206
7602422311
PROVIDENCE MEDICAL FOUNDATION
18310 US HWY 18
APPLE VALLEY, CA 923072206
PROVIDENCE MEDICAL FOUNDATION
19333 BEAR VALLEY RD
APPLE VALLEY, CA 923085149
PROVIDENCE MEDICAL FOUNDATION
12550 HESPERIA RD, SUITE 100
VICTORVILLE, CA 923955873
7602416666
Source: CMS National Downloadable File, September 2026.