Graduated: 1997
NPI: 1902074453
Practice Locations (2)
CONCORD HOSPITALIST GROUP A MEDICAL CORPORATION
1812 VERDUGO BLVD
GLENDALE, CA 912081407
8182468000
PROVIDENCE FACEY MEDICAL FOUNDATION
11333 SEPULVEDA BLVD
MISSION HILLS, CA 913451116
8183659531
Source: CMS National Downloadable File, September 2026.