Provider Demographics
NPI:1659313633
Name:BROWN, JOHN V (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:V
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:351 HOSPITAL RD
Mailing Address - Street 2:SUITE 507
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3509
Mailing Address - Country:US
Mailing Address - Phone:949-642-1361
Mailing Address - Fax:949-642-1608
Practice Address - Street 1:351 HOSPITAL RD
Practice Address - Street 2:SUITE 507
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3509
Practice Address - Country:US
Practice Address - Phone:949-642-1361
Practice Address - Fax:949-642-1608
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2020-02-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG62749207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G627490Medicaid
CA00G627490Medicaid