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NPI Code Detail

MEDICARE: MS. CHRISTINA BROWN PA-C

MEDICARE: MS. CHRISTINA BROWN PA-C
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
1363A00000XPhysician Assistant52962CA

General Provider Information

NPI Number : 1477912442
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTINA BROWN PA-C
Provider Business Mailing Address
First Line : 1832 PURDUE AVE APT 202
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-5590
Country : US
Telephone Number : 415-233-1894
Fax Number :
Provider Business Practice Location Address
First Line : 6430 SELMA AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90028-7311
Country : US
Telephone Number : 323-848-4522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2016
Last Update Date : 02/18/2016

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Directions to “ MS. CHRISTINA BROWN PA-C” Practice Location

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