Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1985
Offers telehealth
NPI: 1093710345
Practice Locations (1)
PROVIDENCE FACEY MEDICAL FOUNDATION
18133 VENTURA BLVD, SUITE 204
TARZANA, CA 913563641
8184667700
Source: CMS National Downloadable File, September 2026.