Graduated: 2013
NPI: 1457725145
Practice Locations (2)
PROVIDENCE FACEY MEDICAL FOUNDATION
11165 SEPULVEDA BLVD
MISSION HILLS, CA 913451113
8188375779
PROVIDENCE FACEY MEDICAL FOUNDATION
19950 RINALDI ST
PORTER RANCH, CA 913264141
8184032400
Source: CMS National Downloadable File, September 2026.