Martell Brown
Individual provider Active NPI Community/Behavioral Health Agency · Rosemead, CA
NPI 1508512377 · NPPES record last updated Mar 1, 2022
Key facts
- NPI
- 1508512377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 42170 (CA)
- Practice address
- 4619 Rosemead Blvd
Rosemead, CA 91770-1478 - Phone
- (626) 286-1191
- NPI assigned
- Mar 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42170 | CA | MD | Community/Behavioral Health Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 42170 | CA | Yes |
Addresses
Primary practice location
4619 Rosemead Blvd
Rosemead, CA 91770-1478
Mailing address
4619 Rosemead Blvd
Rosemead, CA 91770-1478
Phone (626) 286-1191
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42170 | Other | CA | N/A |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | bhc.alhambra@yahoo.com | Direct |
Other providers in Rosemead, CA
- Jerome Boonsong
- Mia C. Booth
- Jennifer May Bowen
- Bright Mind Community Services Inc
- Jennifer C. Brittain
- Vy Bui
- Buis del Mar Pharmacy Inc
- Elle Burnight
- Paulina Cabrera
- Leila Coral Calderon
All providers in Rosemead, CA · Community/Behavioral Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.