# BRENTVIEW MEDICAL INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brentview Medical Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447581350
- **Authorized official:** RAPHAEL DARVISH MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (310) 826-2555

## Contact information

- **Practice address:** 11611 SAN VICENTE BLVD, GROUND FLOOR, LOS ANGELES, CA 90049-5106
- **Practice address phone:** (310) 820-0013
- **Practice address fax:** (310) 207-2630
- **Mailing address:** 11611 SAN VICENTE BLVD, GROUND FLOOR, 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:** 01/18/2010
- **Last updated:** 10/21/2021