Organization · Type 2 NPI

Providence Medical Foundation

Urology Physician · Apple Valley, CA

NPI number 1053616706 Active

Practice location

19333 Bear Valley Rd, Suite 106
Apple Valley, CA 92308-5148

Call (760) 240-5505 Map

Fax (760) 245-5525

Mailing address

PO Box 31001 - 1920
Pasadena, CA 91110-1920

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XNone listed
Radiology Clinic/Center 261QR0200XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

12 other providers at this address

Other urology physician providers in Apple Valley

See all in Apple Valley →

About NPI 1053616706

Providence Medical Foundation's National Provider Identifier is 1053616706, issued on Jan 11, 2011. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Apple Valley, CA. The record was last updated on Dec 1, 2025.