Organization
JACQUES COURSEAULT, MD, PC
Active
Other names
The Fascia Institute and Treatment Center of LA, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUES COURSEAULT MD, CAQSM (CEO)
(424) 378-3488
Entity
Organization
Contact information
Practice address
415 N CRESCENT DR STE 130, BEVERLY HILLS, CA 90210-6816
(424) 378-3488
(800) 881-2038
Mailing address
415 N CRESCENT DR STE 130, BEVERLY HILLS, CA 90210-6816
(424) 378-3488
(800) 881-2038
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
04/06/2026
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