Individual
MICHAEL J. FASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(323) 857-2000
Mailing address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(323) 857-2000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G79704
CA
207VM0101X
Maternal & Fetal Medicine Physician
78103
AZ
Other
Enumeration date
11/13/2006
Last updated
11/10/2025
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