Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1984
Offers telehealth
NPI: 1346254968
Practice Locations (1)
PROVIDENCE FACEY MEDICAL FOUNDATION
19950 RINALDI ST, SUITE 200
PORTER RANCH, CA 913264141
8184032400
Source: CMS National Downloadable File, September 2026.