Graduated: 2018
NPI: 1215429733
Practice Locations (2)
PROVIDENCE FACEY MEDICAL FOUNDATION
503 S BUENA VISTA ST, SUITE 101
BURBANK, CA 915054809
8188697630
PROVIDENCE FACEY MEDICAL FOUNDATION
19950 RINALDI ST
PORTER RANCH, CA 913264141
8184032400
Source: CMS National Downloadable File, September 2026.