| NPI | 1740152040 |
|---|---|
| Doing Business As | THE FASCIA INSTITUTE AND TREATMENT CENTER OF LA, LLC |
| Entity Type | Organization |
| Authorized Contact | JACQUES COURSEAULT CEO 424-378-3488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2025-09-18 |
| Last Update Date | 2026-04-06 |