FRED BROWN RECOVERY SERVICES
NPI 1528616117
Clinic/Center - Rehabilitation, Substance Use Disorder in San Pedro, CA

Active since August 28, 2019
505 S PACIFIC AVENUE, SUITE 103,104,105,106,203,204,205,206, SAN PEDRO, CA 90731(310) 519-8723(310) 519-8723 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2024, Apr 26, 2022, Apr 5, 2022 and 3 more (6 updates tracked since 2019).

About Fred Brown Recovery Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRED BROWN RECOVERY SERVICES (NPI 1528616117) is a healthcare organization registered as a rehabilitation, substance use disorder in San Pedro, California and active in the NPI registry since August 2019. The organization lists Angelita Fernando, Administrative Manager, as its authorized official.

NPPES Registry Identity

NPI1528616117
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameFRED BROWN'S RECOVERY SERVICES
Location Address505 S PACIFIC AVENUE, SUITE 103,104,105,106,203,204,205,206San Pedro, CA 90731-2656
Mailing AddressPo Box 2743San Pedro, CA 90731-0182 · (310) 519-8723 · Fax (310) 519-1309
Fax(310) 519-8723
Organization SubpartNo
Authorized OfficialAngelita FernandoAdministrative Manager · (310) 519-8723
Enumeration DateAugust 28, 2019
Last NPPES UpdateMay 15, 20246 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
NPI 1528616117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
505 S PACIFIC AVENUE, San Pedro, CA 90731

Other Names 1

Doing Business AsFred Brown Recovery Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
505 S PACIFIC AVENUE, SUITE# 103-106, 203-206
SAN PEDRO, CA 90731, CA 90731

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fred Brown's Recovery Services's NPI number?

The NPI number for Fred Brown's Recovery Services is 1528616117. It was assigned to this organization in the NPPES registry on August 28, 2019. The provider is doing business as Fred Brown Recovery Services.

Where is Fred Brown's Recovery Services located?

Fred Brown's Recovery Services is located at 505 S Pacific Avenue Suite 103,104,105,106,203,204,205,206, San Pedro, CA 90731. The listed phone number is (310) 519-8723.

What is Fred Brown's Recovery Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Fred Brown's Recovery Services was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.