| Doctor Name: | MR. JUSTIN CHARLES BROWN |
| NPI Number: | 1700151735 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | 38808 |
| Business Practice Address: | 2600 E Coast Hwy 150 Corona Del Mar, CA - 926252117 |
| Business Phone Number: | 9496402121 |
| Business Fax Number: | 9496402631 |
| Mailing Address: | 2600 East Pacific Coast Highway Suite 150, CORONA DEL MAR |
| State: | CA |
| Postal Code: | 926252117 |
| Phone Number: | 9496402121 |
| Fax Number: | 9496402631 |
| NPI Enumeration Date: | 03/08/2012 |
| NPI Last Update Date: | 03/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 38808 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |