Individual
HILARY J FAUSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
39 CONGRESS ST, #303, PASADENA, CA 91105-3024
(626) 440-5900
(626) 440-5900
Mailing address
39 CONGRESS ST, #303, PASADENA, CA 91105-3024
(626) 440-5900
(626) 440-5900
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
G85360
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
G85360
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G853600
—
CA
Enumeration date
02/27/2006
Last updated
01/09/2020
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