Provider Demographics
NPI:1598972309
Name:BROWN, DINA (DINA BROWN)
Entity Type:Individual
Prefix:
First Name:DINA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:DINA BROWN
Other - Prefix:
Other - First Name:DINA
Other - Middle Name:BROWN
Other - Last Name:SCHEXNAYDRE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DINA BROWN MTOM,LAC
Mailing Address - Street 1:441 S BEVERLY DR
Mailing Address - Street 2:SUITE 9
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-4427
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:441 S BEVERLY DR
Practice Address - Street 2:SUITE 9
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-4427
Practice Address - Country:US
Practice Address - Phone:310-552-2339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6459171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist