Active NPI
Brentwood - Eating Disorder Center of California, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
National Provider Identifier
1730537754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- BRENTWOOD - EATING DISORDER CENTER OF CALIFORNIA, LLC
- Practice address
- 520 S Sepulveda Blvd Ste 208
Los Angeles, CA 90049-3536 - Phone
- (310) 472-3728
- NPI assigned
- May 31, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Schulz
- Title
- Chief Financial Officer
- Phone
- (720) 440-4277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
520 S Sepulveda Blvd Ste 208
Los Angeles, CA 90049-3536
Mailing address
6100 SW 76TH St
South Miami, FL 33143-5002
Phone (305) 663-1876
Other names 1
- Eating Disorder Center of California
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2159904 | Eating Disorder Center of California | Certificate of waiver | Dec 30, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Brentwood - Eating Disorder Center of California LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Newport Beach, CA
- NPI 1952857336
Locations
6100 SW 76th St
Ste 208
South Miami, FL 33143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1730537754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 SW 76TH ST",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435002",
"telephone_number": "305-663-1876",
"fax_number": "786-359-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S SEPULVEDA BLVD STE 208",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900493536",
"telephone_number": "310-472-3728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRENTWOOD - EATING DISORDER CENTER OF CALIFORNIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-31",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A",
"authorized_official_last_name": "SCHULZ",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "720-440-4277"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Eating Disorder Center of California",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Eating Disorder Center of California",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
- Dina Kikue Brent, MD
- Gregory Alan Brent, MD
- Timothy Brent
- Linden Brentano
- Brentview Medical Inc.
- Brentwood Ambulatory Surgical Medical Center
- Brentwood Center for Advanced Medicine, PC
- Brentwood Dermatology Medical Group Inc
- Brentwood Medical Group a Professional Medical Corp
- Brentwood Orthopedic and Spine Surgery LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.