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NPI Code Detail

MEDICARE: HENRY CARLOS BROWN LMT

MEDICARE: HENRY CARLOS BROWN LMT
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
1225700000XMassage Therapist10410CA

General Provider Information

NPI Number : 1720860489
Entity Type Code : Individual
Provider Name (Legal Business Name) : HENRY CARLOS BROWN LMT
Provider Business Mailing Address
First Line : 5757 W CENTURY BLVD STE 719
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-6431
Country : US
Telephone Number : 213-925-5892
Fax Number :
Provider Business Practice Location Address
First Line : 5757 W CENTURY BLVD STE 719
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-6431
Country : US
Telephone Number : 424-702-5645
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2023
Last Update Date : 10/17/2023

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Directions to “ HENRY CARLOS BROWN LMT” Practice Location

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