Individual provider · Type 1 NPI

Johnathan Brown Sr., ATC

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1497292296 Active

Practice location

2110 W 95th St
Los Angeles, CA 90047-3721

Call (323) 754-8641 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X2000015128 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1497292296

Johnathan Brown Sr., ATC's National Provider Identifier is 1497292296, issued on Jan 31, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 31, 2017.