Organization · Type 2 NPI

Providence Medical Foundation

General Practice Physician · Diamond Bar, CA

NPI number 1285890624 Active

Practice location

1514 Valley Vista Dr
Diamond Bar, CA 91765-3929

Call (909) 860-1144 Map

Fax (909) 860-8307

Mailing address

PO Box 31001 - 1920
Pasadena, CA 91110-1920

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

17 other providers at this address

Other general practice physician providers in Diamond Bar

See all in Diamond Bar →

About NPI 1285890624

Providence Medical Foundation's National Provider Identifier is 1285890624, issued on Aug 5, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Diamond Bar, CA. The record was last updated on Feb 3, 2026.