Brentwood Surgery Center Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BRENTWOOD SURGERY CENTER INC.

Practice address

11819 Wilshire Blvd Ste 215
Los Angeles, CA 90025-6631

Phone

(310) 444-8808

Fax

(310) 444-8809

NPI assigned

Oct 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elena Jasso

Title

Billing Manager

Phone

(310) 444-8808

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669569018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11819 WILSHIRE BLVD STE 215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256631",
            "telephone_number": "310-444-8808",
            "fax_number": "310-444-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11819 WILSHIRE BLVD STE 215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256631",
            "telephone_number": "310-444-8808",
            "fax_number": "310-444-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD SURGERY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JASSO",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "310-444-8808"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brentwood Center for Advanced Medicine, PC
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• Brentwood Medical Group a Professional Medical Corp
• Brentwood Orthopedic and Spine Surgery LLC
• Brentwood Physical Therapy Inc
• Shelly Elise Brentzel, NP
• Heather Jeanne Bresett
• David Bresler II, M.D.
• David E Bresler, PHD, LAC, DIPLAC,
• Sandra H. T. Bresnahan, RN, BSN, MSN, ACNP

• Ambulatory Surgical Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.