Medical school: TOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated: 2021
NPI: 1831779149
Practice Locations (3)
PROVIDENCE FACEY MEDICAL FOUNDATION
503 S BUENA VISTA ST, SUITE 101
BURBANK, CA 915054809
8188697630
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.