Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2011
Offers telehealth
NPI: 1033418249
Practice Locations (1)
PROVIDENCE FACEY MEDICAL FOUNDATION
11333 SEPULVEDA BLVD
MISSION HILLS, CA 913451116
8183659531
Source: CMS National Downloadable File, September 2026.