Fascio, Joanne

Fascio, Joanne is an individual health care provider with primary practice located at 1655 S Western Ave , Los Angeles CA 90006-5801. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Fascio, Joanne can be contacted via phone (323) 737-5200.

Contact Information

Primary practice address
1655 S Western Ave Los Angeles CA 90006-5801
Phone: (323) 737-5200
Fax: (323) 737-5400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95004874 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95004874 California
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95004874 California

Profile Details

NPI number 1548708720
LBN Legal business name Fascio, Joanne
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2017
Last updated Feb 7th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548708720 NPPES
California MEDICAID 95004874

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