Graduated: 2013
NPI: 1801229356
Practice Locations (2)
PROVIDENCE FACEY MEDICAL FOUNDATION
6020 SEABLUFF DR, SUITE 1
PLAYA VISTA, CA 900942211
3108620400
PROVIDENCE FACEY MEDICAL FOUNDATION
19950 RINALDI ST
PORTER RANCH, CA 913264141
8184032400
Source: CMS National Downloadable File, September 2026.