Provider Demographics
NPI:1982372629
Name:DAVID DONALDSON BROWN DO INC
Entity Type:Organization
Organization Name:DAVID DONALDSON BROWN DO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:DONALDSON
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:479-249-0435
Mailing Address - Street 1:12062 VALLEY VIEW ST STE 107
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92845-1738
Mailing Address - Country:US
Mailing Address - Phone:479-249-0435
Mailing Address - Fax:
Practice Address - Street 1:12062 VALLEY VIEW ST STE 107
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92845-1738
Practice Address - Country:US
Practice Address - Phone:479-249-0435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty