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NPI Code Detail

MEDICARE: MR. CHRISTOPHER JAMES BROWN CRNA

MEDICARE:  MR. CHRISTOPHER JAMES BROWN  CRNA
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
1367500000XCertified Registered Nurse AnesthetistNA809CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194766451
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER JAMES BROWN CRNA
Provider Business Mailing Address
First Line : 34521 VIA CATALINA
Second Line : UNIT 'B'
City : CAPISTRANO BEACH
State : CA
Zip : 92624-1215
Country : US
Telephone Number : 949-489-8694
Fax Number : 949-489-8694
Provider Business Practice Location Address
First Line : 34521 VIA CATALINA
Second Line : UNIT 'B'
City : CAPISTRANO BEACH
State : CA
Zip : 92624-1215
Country : US
Telephone Number : 949-489-8694
Fax Number : 949-489-8694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 12/22/2008

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