| Brent Brown, DO | |
|
4647 Zion Ave, San Diego, CA 92120-2507 | |
| (619) 528-5000 | |
| Not Available |
| Full Name | Brent Brown |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 15 Years |
| Location | 4647 Zion Ave, San Diego, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265748040 | NPI | - | NPPES |
| 125057489 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036086005 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 14508 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaiser Foundation Hospital - Zion | San diego, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 9038 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Brown, DO 4647 Zion Ave, San Diego, CA 92120-2507 Ph: (619) 528-5000 | Brent Brown, DO 4647 Zion Ave, San Diego, CA 92120-2507 Ph: (619) 528-5000 |
Omar Mahmoud Aldaas, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 619-543-6268 | |
Dr. Todd M. Hitchcock, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3811 Valley Centre Dr, San Diego, CA 92130 Phone: 858-764-3110 | |
Marina Valeryevna Levin, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Dr. Diana Jane Childers, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 | |
Dr. Ramez A Ghabour, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 858-249-6751 | |
Dr. Adam Lundy, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 7901 Frost St, San Diego, CA 92123 Phone: 858-939-3400 Fax: 858-939-3527 | |
Emma Aislin Mulligan, Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 303-883-7220 |