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Organization

DAMON BROWN PHYSICAL THERAPY

Active
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Organization

DAMON BROWN PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAMON BROWN P.T., O.C.S. (PHYSICAL THERAPIST, OWNER)
(310) 360-9069
Entity
Organization

Contact information

Practice address
822 S ROBERTSON BLVD, SUITE 310, LOS ANGELES, CA 90035-1613
(310) 360-9069
(310) 360-0840
Mailing address
822 S ROBERTSON BLVD, SUITE 310, LOS ANGELES, CA 90035-1613
(310) 360-9069
(310) 360-0840

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16935
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16935
BLUE CROSS
CA
01
OPT169350
BLUE SHIELD
CA
Enumeration date
03/16/2007
Last updated
08/22/2020
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