# BRENTVIEW MEDICAL INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRENTVIEW MEDICAL INC
- **Other names:** Brentview Medical Urgent Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326631177
- **Legal business name:** BRENTVIEW MEDICAL INC
- **Authorized official:** RAPHAEL DARVISH (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (310) 826-2555

## Contact information

- **Practice address:** 8264 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-5915
- **Practice address phone:** (323) 522-2222
- **Practice address fax:** (323) 654-2221
- **Mailing address:** 11611 SAN VICENTE BLVD, LOS ANGELES, CA 90049-5106
- **Mailing address phone:** (310) 820-0013
- **Mailing address fax:** (310) 207-2630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/12/2021
- **Last updated:** 10/21/2021