Healthcare Provider Details
I. General information
NPI: 1538053335
Provider Name (Legal Business Name): BROWN-HILL MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/05/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5311 W CENTINELA AVE
LOS ANGELES CA
90045-2003
US
IV. Provider business mailing address
5311 W CENTINELA AVE
LOS ANGELES CA
90045-2003
US
V. Phone/Fax
- Phone: 310-625-9898
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
ERIC
BROWN
Title or Position: MD
Credential:
Phone: 626-710-8877