BRENTWOOD SURGERY CENTER INC. – NPI #1669569018
Clinic/Center

BRENTWOOD SURGERY CENTER INC. is an AHC clinic located in LOS ANGELES, CA. NPPES has assigned the NPI number 1669569018 to BRENTWOOD SURGERY CENTER INC. on October 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRENTWOOD SURGERY CENTER INC. below.

NPI Profile for
BRENTWOOD SURGERY CENTER INC.

NPI Number
1669569018
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRENTWOOD SURGERY CENTER INC.
Primary location
11819 WILSHIRE BLVD STE 215
LOS ANGELES, CA 90025-6631
Phone: (310) 444-8808 Fax: (310) 444-8809
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ELENA JASSO
BILLING MANAGER
Phone: (310) 444-8808
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
CA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.