Healthcare Provider Details

I. General information

NPI: 1043124639
Provider Name (Legal Business Name): TEMEKA N BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 10/09/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CONCORD AVENUE SUITE 185 185
CONCORD CA
94520
US

IV. Provider business mailing address

CONCORD AVENUE SUITE 185
CONCORD CA
94592
US

V. Phone/Fax

Practice location:
  • Phone: 877-910-6538
  • Fax:
Mailing address:
  • Phone: 877-910-6538
  • Fax: 510-373-1738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberB7508964
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: