Brentview Medical INC.
Clinic/Center, Urgent Care in Los Angeles, CA. Organization (NPI-2).
NPI number1447581350
StatusActive
Last updated in NPPESOct 21, 2021
Details
- NPI
- 1447581350
- Entity type
- Organization (NPI-2)
- Legal business name
- Brentview Medical INC.
- Organization subpart
- No
- Enumeration date
- Jan 18, 2010
- Certification date
- Oct 21, 2021
- Last updated
- Oct 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
Other names
- Brentview Medical Urgent Care (Doing Business As)
Practice location
11611 San Vicente BlvdGround Floor
Los Angeles, CA 90049-5106
Phone 310-820-0013 · Fax 310-207-2630
Mailing address
11611 San Vicente BlvdGround Floor
Los Angeles, CA 90049-5106
Phone 310-820-0013 · Fax 310-207-2630
Other practice locations
8264 Santa Monica Blvd
West Hollywood, CA 90046-5915
West Hollywood, CA 90046-5915
Phone 323-522-2222 · Fax 323-654-2221
Authorized official
Raphael Darvish
Authorized Official
3108262555
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