Provider Demographics
NPI:1467957902
Name:BROWN, EMILY CHLOE (MD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:CHLOE
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3415 S SEPULVEDA BLVD
Mailing Address - Street 2:FLOOR 10
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034
Mailing Address - Country:US
Mailing Address - Phone:888-878-4256
Mailing Address - Fax:206-202-5611
Practice Address - Street 1:3415 S SEPULVEDA BLVD
Practice Address - Street 2:FLOOR 10
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034
Practice Address - Country:US
Practice Address - Phone:888-878-4256
Practice Address - Fax:206-202-5611
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD475707207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program