Provider Demographics
NPI:1881866507
Name:BROWN, JASON PARKER (MD)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:PARKER
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 W ARBOR DR
Mailing Address - Street 2:#8411
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-9000
Mailing Address - Country:US
Mailing Address - Phone:619-543-8213
Mailing Address - Fax:619-543-5576
Practice Address - Street 1:200 W ARBOR DR
Practice Address - Street 2:#8411
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-9000
Practice Address - Country:US
Practice Address - Phone:619-543-8213
Practice Address - Fax:619-543-5576
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA86856207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease