BRENTWOOD AMBULATORY SURGICAL MEDICAL CENTER NPI 1588737035

NPI Information

NPI: 1588737035
Provider Name: BRENTWOOD AMBULATORY SURGICAL MEDICAL CENTER
Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

Address:
11645 WILSHIRE BLVD
905
LOS ANGELES, CA
ZIP 90025
Phone: (310) 442-9262
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BRENTWOOD AMBULATORY SURGICAL MEDICAL CENTER is an ophthalmologic surgery clinic center in Los Angeles, CA. BRENTWOOD AMBULATORY SURGICAL MEDICAL CENTER NPI is 1588737035. The provider is registered as an organization entity type.

The provider's business location address is:

11645 WILSHIRE BLVD
905
LOS ANGELES, CA
ZIP 90025-708
Phone: (310) 442-9262

The provider's authorized official is Randi Fett .
The authorized official title is Administrator and has the following contact phone number (310) 442-9262.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS0132X	Clinic/Center	Ophthalmologic Surgery	9300009000	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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