Graduated: 1981
Offers telehealth
NPI: 1831199058
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
500 DOYLE PARK DR
SANTA ROSA, CA 954054559
PROVIDENCE MEDICAL FOUNDATION
12550 HESPERIA RD, SUITE 100
VICTORVILLE, CA 923955873
7602416666
Source: CMS National Downloadable File, September 2026.