Medical school: SAN JUAN BAUTISTA SCHOOL OF MEDICINE
Graduated: 2019
NPI: 1114523958
Practice Locations (3)
PROVIDENCE FACEY MEDICAL FOUNDATION
11333 SEPULVEDA BLVD
MISSION HILLS, CA 913451116
8183659531
PROVIDENCE FACEY MEDICAL FOUNDATION
19950 RINALDI ST
PORTER RANCH, CA 913264141
8184032400
PROVIDENCE FACEY MEDICAL FOUNDATION
2655 1ST ST, SUITE 325
SIMI VALLEY, CA 930651581
8052062000
Source: CMS National Downloadable File, September 2026.