# BRENTWOOD SURGERY CENTER INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669569018
- **Authorized official:** ELENA JASSO (BILLING MANAGER)
- **Authorized official phone:** (310) 444-8808

## Contact information

- **Practice address:** 11819 WILSHIRE BLVD STE 215, LOS ANGELES, CA 90025-6631
- **Practice address phone:** (310) 444-8808
- **Practice address fax:** (310) 444-8809
- **Mailing address:** 11819 WILSHIRE BLVD STE 215, LOS ANGELES, CA 90025-6631
- **Mailing address phone:** (310) 444-8808
- **Mailing address fax:** (310) 444-8809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 08/22/2020