Brown, Greg A

Brown, Greg A is an individual health care provider with primary practice located at 655 Camino De Los Mares Suite 124, San Clemente CA 92673-2809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Brown, Greg A can be contacted via phone (949) 661-9657.

Contact Information

Primary practice address
655 Camino De Los Mares Suite 124 San Clemente CA 92673-2809
Fax: (949) 661-1352
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A40335 California

Profile Details

NPI number 1720135346
LBN Legal business name Brown, Greg A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Dec 16th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720135346 NPPES
California Other A40335 LICENSE
California MEDICAID 00A403350 LICENSE

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