Basic Information
Provider Information
NPI: 1730156670
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BROWNE
FirstName: PETER
MiddleName: MEADE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 301 W HUNTINGTON DR
Address2: SUITE 607
City: ARCADIA
State: CA
PostalCode: 910073462
CountryCode: US
TelephoneNumber: 6264454558
FaxNumber: 6267952716
Practice Location
Address1: 301 W HUNTINGTON DR
Address2: SUITE 607
City: ARCADIA
State: CA
PostalCode: 910073462
CountryCode: US
TelephoneNumber: 6264454558
FaxNumber: 6264465807
Other Information
ProviderEnumerationDate: 02/28/2006
LastUpdateDate: 03/14/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001XG24986CAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RS0012XG24986CAN Allopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
207RC0200XG24986CAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

ID Information
IDTypeStateIssuerDescription
00G24986005CA MEDICAID


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