Healthcare Provider Details

I. General information

NPI: 1477495968
Provider Name (Legal Business Name): CHRISTIAN BROWN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10171 RIO HONDO PKWY
EL MONTE CA
91733-1348
US

IV. Provider business mailing address

21282 BEACH BLVD
HUNTINGTON BEACH CA
92648-5486
US

V. Phone/Fax

Practice location:
  • Phone: 386-804-8830
  • Fax:
Mailing address:
  • Phone: 310-890-3117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: