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Individual

DR. JEROME BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10350 WILSHIRE BLVD, #1003, LOS ANGELES, CA 90024
(310) 447-4645
(310) 858-0025
Mailing address
10350 WILSHIRE BLVD, #1003, LOS ANGELES, CA 90024
(310) 447-4645
(310) 858-0025

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C26942
CA
207RP1001X
Pulmonary Disease Physician
Primary
C26942
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00C269420
MEDICAL PPIN #
CA
Enumeration date
07/10/2006
Last updated
02/20/2009
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