Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1104838754
Practice Locations (2)
PROVIDENCE FACEY MEDICAL FOUNDATION
14550 SOLEDAD CANYON RD
CANYON COUNTRY, CA 913872200
6612505200
PROVIDENCE FACEY MEDICAL FOUNDATION
19950 RINALDI ST
PORTER RANCH, CA 913264141
8184032400
Source: CMS National Downloadable File, September 2026.