BRENTWOOD AMBULATORY SURGICAL MEDICAL CENTER – NPI #1588737035
Clinic/Center

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BRENTWOOD AMBULATORY SURGICAL MEDICAL CENTER is an AHC clinic located in LOS ANGELES, CA. NPPES has assigned the NPI number 1588737035 to BRENTWOOD AMBULATORY SURGICAL MEDICAL CENTER on November 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS0132X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ophthalmologic Surgery

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 AMBULATORY SURGICAL MEDICAL CENTER below.

NPI Profile for
BRENTWOOD AMBULATORY SURGICAL MEDICAL CENTER

NPI Number

1588737035

Enumeration Date

Nov 15, 2006
(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 AMBULATORY SURGICAL MEDICAL CENTER

Primary location

11645 WILSHIRE BLVD
905
LOS ANGELES, CA 90025-1708

Phone: (310) 442-9262

Mailing address

Same as primary location

Organization Subpart

Authorized Official

RANDI FETT
ADMINISTRATOR
Phone: (310) 442-9262

Updated

Aug 22, 2020

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
261QS0132X - Clinic/Center / Ophthalmologic Surgery (Primary)	CA	9300009000

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.