Medical school: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated: 2001
Offers telehealth
NPI: 1851322762
Practice Locations (1)
PROVIDENCE FACEY MEDICAL FOUNDATION
191 S BUENA VISTA ST, SUITE 100
BURBANK, CA 915054562
8188697600
Source: CMS National Downloadable File, September 2026.