Healthcare Provider Details

I. General information

NPI: 1265605307
Provider Name (Legal Business Name): JASON BROWN MD INC A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2008
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27882 FORBES RD STE 203
LAGUNA NIGUEL CA
92677-1267
US

IV. Provider business mailing address

6100 WATERFORD DISTRICT DR STE 450
MIAMI FL
33126-4692
US

V. Phone/Fax

Practice location:
  • Phone: 949-347-2400
  • Fax:
Mailing address:
  • Phone: 888-787-1598
  • Fax: 714-795-6829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA74409
License Number StateCA

VIII. Authorized Official

Name: DR. JASON C BROWN
Title or Position: PRESIDENT
Credential: MD
Phone: 619-573-0227