Provider Demographics
NPI:1821003443
Name:DR. JANET L. BROWN A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:DR. JANET L. BROWN A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-383-1870
Mailing Address - Street 1:131 CAMINO ALTO
Mailing Address - Street 2:SUITE C
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-2254
Mailing Address - Country:US
Mailing Address - Phone:415-383-1870
Mailing Address - Fax:415-383-1706
Practice Address - Street 1:131 CAMINO ALTO
Practice Address - Street 2:SUITE C
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-2254
Practice Address - Country:US
Practice Address - Phone:415-383-1870
Practice Address - Fax:415-383-1706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50784207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A507840Medicare ID - Type Unspecified