Provider Demographics
NPI:1457249930
Name:BROWN, CAROLYN SOPHIA (CPI-1 PHLEBOTOMIST)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:SOPHIA
Last Name:BROWN
Suffix:
Gender:F
Credentials:CPI-1 PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:637 S CLOVERDALE AVENUE
Mailing Address - Street 2:UNIT #4
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036
Mailing Address - Country:US
Mailing Address - Phone:424-466-3087
Mailing Address - Fax:
Practice Address - Street 1:15717 AVIS AVENUE
Practice Address - Street 2:
Practice Address - City:LAWNDALE
Practice Address - State:CA
Practice Address - Zip Code:90260
Practice Address - Country:US
Practice Address - Phone:424-466-3087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy