Graduated: 1995
Offers telehealth
NPI: 1063483162
Practice Locations (3)
PROVIDENCE FACEY MEDICAL FOUNDATION
3413 W PACIFIC AVE, SUITE 100
BURBANK, CA 915051598
8185617589
PROVIDENCE FACEY MEDICAL FOUNDATION
19950 RINALDI ST
PORTER RANCH, CA 913264141
8184032400
12626 RIVERSIDE DR, SUITE 302
VALLEY VILLAGE, CA 916073474
8187602993
Source: CMS National Downloadable File, September 2026.