Individual
DR. DENISE W KWAN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.D.
Contact information
Practice address
15454 GALE AVE, HACIENDA HEIGHTS, CA 91745-1500
(323) 801-6660
Mailing address
PO BOX 93092, CITY OF INDUSTRY, CA 91715-3092
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7208
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032512070629
—
CA
05
—
120703250629
—
CA
Enumeration date
02/15/2012
Last updated
03/22/2017
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