Individual
ANTHONY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2729 BRISTOL ST, COSTA MESA, CA 92626-7930
(855) 932-7267
Mailing address
444 HEDEEN DR, MANSFIELD, OH 44907-1034
(949) 836-6992
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
—
—
163W00000X
Registered Nurse
462845
OH
163W00000X
Registered Nurse
806548
CA
163WC1500X
Community Health Registered Nurse
552455
CA
283Q00000X
Psychiatric Hospital
—
—
363L00000X
Nurse Practitioner
Primary
95028581
CA
Other
Enumeration date
12/22/2023
Last updated
04/17/2025
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