Provider Demographics
NPI:1427899376
Name:BROWN, CHRISTOPHER C
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:C
Last Name:BROWN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 S FIGUEROA ST # E3307
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-1392
Mailing Address - Country:US
Mailing Address - Phone:323-241-7040
Mailing Address - Fax:
Practice Address - Street 1:8010 S FIGUEROA ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90003-2721
Practice Address - Country:US
Practice Address - Phone:323-241-7040
Practice Address - Fax:323-299-8112
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities