Healthcare Provider Details

I. General information

NPI: 1053729954
Provider Name (Legal Business Name): HARVEY V. BROWN, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2014
Last Update Date: 07/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 S GRAND AVE SUITE # 605
LOS ANGELES CA
90015-3048
US

IV. Provider business mailing address

1400 S GRAND AVE SUITE # 605
LOS ANGELES CA
90015-3048
US

V. Phone/Fax

Practice location:
  • Phone: 213-742-0910
  • Fax: 213-742-6631
Mailing address:
  • Phone: 213-742-0910
  • Fax: 213-742-6631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG24071
License Number StateCA

VIII. Authorized Official

Name: DR. HARVEY V. BROWN
Title or Position: CEO
Credential: M.D.
Phone: 213-742-0910