| James R Brown Md Inc | |
|
8360 Red Oak St Ste 103 Rancho Cucamonga CA 91730-0608 | |
| (909) 980-1946 | |
| Not Available |
| Full Name | James R Brown Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 8360 Red Oak St Ste 103, Rancho Cucamonga, California |
| Authorized Official Name and Position | James R Brown (CEO) |
| Authorized Official Contact | 9099801946 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James R Brown Md Inc 8360 Red Oak St Ste 103 Rancho Cucamonga CA 91730-0608 Ph: (909) 980-1946 | James R Brown Md Inc 8360 Red Oak St Ste 103 Rancho Cucamonga CA 91730-0608 Ph: (909) 980-1946 |
| NPI Number | 1750810370 |
|---|---|
| Provider Enumeration Date | 06/07/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4688942006 |
|---|---|
| Medicare Enrollment ID | O20170607002592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750810370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A51937 (California) | Primary |
| Provider Name | James R Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073597738 PECOS PAC ID: 2163608746 Enrollment ID: I20110516000668 |
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