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BRENTWOOD SURGERY CENTER INC.
NPI 1669569018
Clinic/Center - Ambulatory Surgical in Los Angeles, CA

Active since October 06, 2006
11819 WILSHIRE BLVD STE 215, LOS ANGELES, CA 90025(310) 444-8808(310) 444-8809 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About BRENTWOOD SURGERY CENTER INC.

This page provides the complete NPI Profile along with additional information for Brentwood Surgery Center Inc., a provider established in Los Angeles, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1669569018 assigned on October 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Elena Jasso (Billing Manager)

NPI
1669569018 Verify this NPI
Provider Name
BRENTWOOD SURGERY CENTER INC.
Entity Type
Organization
Location Address
11819 WILSHIRE BLVD STE 215 LOS ANGELES, CA 90025
Location Phone
(310) 444-8808
Location Fax
(310) 444-8809
Mailing Address
11819 WILSHIRE BLVD STE 215 LOS ANGELES, CA 90025
Mailing Phone
(310) 444-8808
Mailing Fax
(310) 444-8809
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-06-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ELENA JASSO

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(310) 444-8808

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Frequently Asked Questions

What is BRENTWOOD SURGERY CENTER INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1669569018, enumerated as an "organization" on October 06, 2006.

Where is the provider located?

The provider is located at 11819 WILSHIRE BLVD STE 215 LOS ANGELES, CA 90025 and the phone number is (310) 444-8808.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.