Organization
DAMON BROWN PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMON R BROWN RPT OCS (OWNER)
(310) 360-9069
Entity
Organization
Contact information
Practice address
822 S ROBERTSON BLVD, #310, LOS ANGELES, CA 90035
(310) 606-5664
(310) 606-5668
Mailing address
2405 W 170TH STREET, TORRANCE, CA 90504-2835
(310) 360-9069
(310) 360-0840
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT16935
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
W17156A
—
CA
Enumeration date
11/17/2006
Last updated
08/22/2020
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