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Organization

JOHN CARLISLE BROWN, MC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLYN PLUIMER (OFFICE COORDINATOR)
(949) 645-9766
Entity
Organization

Contact information

Practice address
3900 W COAST HWY STE 300, NEWPORT BEACH, CA 92663-4093
(949) 645-9766
Mailing address
3900 W COAST HWY STE 300, NEWPORT BEACH, CA 92663-4093

Taxonomy

Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
G14693
CA
284300000X
Special Hospital
G14693
CA
305R00000X
Preferred Provider Organization
Primary
G14693
CA

Other

Enumeration date
10/28/2016
Last updated
10/28/2016
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