MEDICARE: DAVID D BROWN DO 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	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1881250918
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID D BROWN DO INC

Provider Business Mailing Address
First Line	:	4972 MARLIN DR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92649-3580
Country	:	US
Telephone Number	:	479-249-0435
Fax Number	:

Provider Business Practice Location Address
First Line	:	12062 VALLEY VIEW ST STE 107
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92845-1738
Country	:	US
Telephone Number	:	714-646-7040
Fax Number	:	714-646-7143

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID D BROWN
Credential	:	DO
Telephone Number	:	479-249-0435

Provider Enumeration Date	:	05/14/2019
Last Update Date	:	06/19/2019

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