Felicia C Brown

Individual provider Active NPI Contractor · Whittier, CA

NPI 1710325832 · NPPES record last updated Jun 11, 2013

Key facts

NPI
1710325832
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
Practice address
10915 Glencannon Dr
10915 Glencannon Dr.
Whittier, CA 90606-1523
Phone
(562) 908-3779
NPI assigned
Jun 11, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Yes

Addresses

Primary practice location

10915 Glencannon Dr
10915 Glencannon Dr.
Whittier, CA 90606-1523

Mailing address

10915 Glencannon Dr
10915 Glencannon Dr.
Whittier, CA 90606-1523

Other providers in Whittier, CA

All providers in Whittier, CA · Contractor in California

Sources for this page

Verify at the official NPI Registry.