Individual
JOSEPH PATRICK FAUSTGEN
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
393 E WALNUT ST, 3RD FLOOR PHR SYSTEMS, PASADENA, CA 91188-0001
(626) 405-3640
(626) 405-6768
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
G73413
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G734130
—
CA
Enumeration date
07/20/2007
Last updated
11/29/2021
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