Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2017
Offers telehealth
NPI: 1336680644
Practice Locations (3)
PROVIDENCE FACEY MEDICAL FOUNDATION
14550 SOLEDAD CANYON RD
CANYON COUNTRY, CA 913872200
6612505200
PROVIDENCE FACEY MEDICAL FOUNDATION
11333 SEPULVEDA BLVD
MISSION HILLS, CA 913451116
8183659531
PROVIDENCE FACEY MEDICAL FOUNDATION
19950 RINALDI ST
PORTER RANCH, CA 913264141
8184032400
Source: CMS National Downloadable File, September 2026.