Charles Victor Brown Jr., M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A49923 Issued in CA

Practice address

1249 W Gardena Blvd
Ste 102
Gardena, CA 90247-4884

Phone

(310) 538-0400

NPI assigned

Jun 20, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124023759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84524",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900730524",
            "telephone_number": "310-696-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 W GARDENA BLVD",
            "address_2": "STE 102",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474884",
            "telephone_number": "310-538-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHARLES",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "CA",
            "license": "A49923",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A49923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilarry Dian Broaster, PHARM.D
• Diamond Brock
• Rayme Michael Brock, R.N.
• Ametra Broome
• Ronak Broukhim
• Cristal Michell Brown
• Dawn Kamilah Brown, M.D.
• Diavian Kierra Brown
• Emem E Brown, PA-C
• Jasmine P Brown

• General Practice Physician in Gardena, CA
• Providers in Gardena, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.