Individual
MR. CARL LEON BROWN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
801 E MOUNTAIN VIEW ST, SUITE # C, BARSTOW, CA 92311-3052
(760) 256-6680
(760) 256-6684
Mailing address
1571 W SUNSET BLVD, LOS ANGELES, CA 90026-3333
(213) 482-4400
(213) 482-5100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13853
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 13853
LICENSE
CA
Enumeration date
07/25/2006
Last updated
07/08/2007
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