SearchCalifornia101YA0400X

Paul Brown

NPI 1538739644 · on the registry since 2021 · sole proprietor

Practice

Address
103 W 11th Street
San Pedro, CA 90731
Phone
(310) 514-4940
Organisation at this address
The Beacon House Association Of San Pedro
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California