MEDICARE: CHRISTOPHER BROWN INC

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
1	367500000X	Certified Registered Nurse Anesthetist	NA 809	CA

General Provider Information

NPI Number	:	1801071592
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTOPHER BROWN INC

Provider Business Mailing Address
First Line	:	34521 VIA CATALINA UNIT B
Second Line	:
City	:	CAPISTRANO BEACH
State	:	CA
Zip	:	92624-1215
Country	:	US
Telephone Number	:	714-322-0055
Fax Number	:

Provider Business Practice Location Address
First Line	:	34521 VIA CATALINA UNIT B
Second Line	:
City	:	CAPISTRANO BEACH
State	:	CA
Zip	:	92624-1215
Country	:	US
Telephone Number	:	714-322-0055
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENTOWNER
Name	:	CHRISTOPHER JAMES BROWN
Credential	:	CRNA
Telephone Number	:	714-322-0055

Provider Enumeration Date	:	01/01/2008
Last Update Date	:	12/22/2008

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