Individual
MR. BRIAN LUSTGARTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
6815 NOBLE AVE, VAN NUYS, CA 91405-3796
(818) 901-6600
(818) 901-6680
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15238
CA
363AM0700X
Medical Physician Assistant
PA15238
CA
Other
Enumeration date
12/05/2006
Last updated
02/03/2026
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