Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1999
Offers telehealth
NPI: 1467435107
Practice Locations (1)
PROVIDENCE FACEY MEDICAL FOUNDATION
26357 MCBEAN PKWY, SUITE 310
VALENCIA, CA 913554488
6612222600
Source: CMS National Downloadable File, September 2026.