MEDICARE: BROWN AND PIPKINS CORPORATION

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	261QA0600X	Adult Day Care Clinic/Center	198602613	CA

General Provider Information

NPI Number	:	1962918334
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROWN AND PIPKINS CORPORATION

Provider Business Mailing Address
First Line	:	560 W 90TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90044-5724
Country	:	US
Telephone Number	:	323-920-7321
Fax Number	:	323-920-7322

Provider Business Practice Location Address
First Line	:	10924 S VERMONT AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90044-3016
Country	:	US
Telephone Number	:	323-920-7321
Fax Number	:	323-920-7322

Authorized Official
Title or Position	:	OWNER
Name	:	DANIEL BROWN
Credential	:
Telephone Number	:	323-920-7321

Provider Enumeration Date	:	12/21/2017
Last Update Date	:	08/10/2020

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