Healthcare Provider Details

I. General information

NPI: 1992542104
Provider Name (Legal Business Name): MICHAEL ANTONIO BROWN RCP, RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2024
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 E DEL AMO BLVD APT 101
CARSON CA
90745-3829
US

IV. Provider business mailing address

355 E DEL AMO BLVD APT 101
CARSON CA
90745-3829
US

V. Phone/Fax

Practice location:
  • Phone: 213-776-1582
  • Fax:
Mailing address:
  • Phone: 424-226-2999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2279G1100X
TaxonomyGeneral Care Registered Respiratory Therapist
License Number41531
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2279E0002X
TaxonomyEmergency Care Registered Respiratory Therapist
License Number41531
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2279G0305X
TaxonomyGeriatric Care Registered Respiratory Therapist
License Number41531
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code2279P4000X
TaxonomyPatient Transport Registered Respiratory Therapist
License Number41531
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code2279E1000X
TaxonomyEducational Registered Respiratory Therapist
License Number41531
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code2279P1004X
TaxonomyPulmonary Diagnostics Registered Respiratory Therapist
License Number41531
License Number State
# 7
Primary TaxonomyN
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License Number41531
License Number StateCA
# 8
Primary TaxonomyN
Taxonomy Code2279H0200X
TaxonomyHome Health Registered Respiratory Therapist
License Number41531
License Number StateCA
# 9
Primary TaxonomyN
Taxonomy Code2279P3800X
TaxonomyPalliative/Hospice Registered Respiratory Therapist
License Number41531
License Number State
# 10
Primary TaxonomyN
Taxonomy Code2279P1005X
TaxonomyPulmonary Rehabilitation Registered Respiratory Therapist
License Number41531
License Number StateCA
# 11
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number41531
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: