Individual provider · Type 1 NPI

Jerry Lamont Brown, PHYSICIAN ASSISTANT

Surgical Physician Assistant · Los Angeles, CA

NPI number 1497895049 Active

Practice location

12021 Wilmington Ave
Los Angeles, CA 90059-3019

Mailing address

14103 S Evers Ave
Compton, CA 90222-3707

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1037115 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1497895049

Jerry Lamont Brown, PHYSICIAN ASSISTANT's National Provider Identifier is 1497895049, issued on Feb 6, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.