Brentwood Surgery Center, LLC
Clinic/Center, Ambulatory Surgical in Brentwood, CA. Organization (NPI-2).
NPI number1982620522
StatusActive
Last updated in NPPESAug 22, 2023
Details
- NPI
- 1982620522
- Entity type
- Organization (NPI-2)
- Legal business name
- Brentwood Surgery Center, LLC
- Organization subpart
- No
- Enumeration date
- Jul 15, 2006
- Certification date
- Aug 22, 2023
- Last updated
- Aug 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | CA | Yes |
Other names
- Brentwood Surgery Center (Doing Business As)
Practice location
2400 Balfour RdSuite 320
Brentwood, CA 94513-4945
Phone 925-240-2059 · Fax 925-240-2156
Mailing address
2400 Balfour RdSuite 320
Brentwood, CA 94513-4945
Phone 925-240-2059 · Fax 925-240-2156
Authorized official
Alexandra Rosamond Luckhardt
Administrator
9252402059
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