| Greg A. Brown, M.d. | |
|
655 Camino De Los Mares Suite 124 San Clemente CA 92673-2809 | |
| (949) 661-9657 | |
| (949) 661-1352 |
| Full Name | Greg A. Brown, M.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 655 Camino De Los Mares, San Clemente, California |
| Authorized Official Name and Position | Greg A Brown (OWNER) |
| Authorized Official Contact | 9494954305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greg A. Brown, M.d. 655 Camino De Los Mares Suite 124 San Clemente CA 92673-2809 Ph: (949) 661-9657 | Greg A. Brown, M.d. 655 Camino De Los Mares Suite 124 San Clemente CA 92673-2809 Ph: (949) 661-9657 |
| NPI Number | 1891839155 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 11/07/2008 |
| Medicare PECOS PAC ID | 3678635000 |
|---|---|
| Medicare Enrollment ID | O20081218000796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891839155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A40335 (California) | Primary |
| Provider Name | Greg A Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720135346 PECOS PAC ID: 2961563689 Enrollment ID: I20081212000282 |
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