Provider Demographics
NPI:1366677197
Name:BROWN, JOACHIM MICHAEL (DO)
Entity Type:Individual
Prefix:DR
First Name:JOACHIM
Middle Name:MICHAEL
Last Name:BROWN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:795 E 2ND ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91766-2007
Mailing Address - Country:US
Mailing Address - Phone:909-865-2965
Mailing Address - Fax:909-865-2955
Practice Address - Street 1:795 E 2ND ST
Practice Address - Street 2:SUITE 5
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91766-2007
Practice Address - Country:US
Practice Address - Phone:909-865-2965
Practice Address - Fax:909-865-2955
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-22
Last Update Date:2013-07-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A10787207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine