Graduated: 2022
NPI: 1891445482
Practice Locations (2)
PROVIDENCE FACEY MEDICAL FOUNDATION
14550 SOLEDAD CANYON RD
CANYON COUNTRY, CA 913872200
6612505200
PROVIDENCE FACEY MEDICAL FOUNDATION
19950 RINALDI ST
PORTER RANCH, CA 913264141
8184032400
Source: CMS National Downloadable File, September 2026.