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NPI Code Detail

MEDICARE: DR. JONATHAN S BROWN

MEDICARE:  DR. JONATHAN S BROWN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist32538CA

General Provider Information

NPI Number : 1184766594
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN S BROWN
Provider Business Mailing Address
First Line : 3959 LAUREL CYN BLVD
Second Line : STE B
City : STUDIO CITY
State : CA
Zip : 91604
Country : US
Telephone Number : 818-766-1747
Fax Number : 818-766-9613
Provider Business Practice Location Address
First Line : 3959 LAUREL CYN BLVD
Second Line : STE B
City : STUDIO CITY
State : CA
Zip : 91604
Country : US
Telephone Number : 818-766-1747
Fax Number : 818-766-9613
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2007
Last Update Date : 07/08/2007

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Directions to “ DR. JONATHAN S BROWN ” Practice Location

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