# BRENTWOOD SURGERY CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Brentwood Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982620522
- **Authorized official:** MRS. ALEXANDRA ROSAMOND LUCKHARDT RN (ADMINISTRATOR)
- **Authorized official phone:** (925) 240-2059

## Contact information

- **Practice address:** 2400 BALFOUR RD, SUITE 320, BRENTWOOD, CA 94513-4945
- **Practice address phone:** (925) 240-2059
- **Practice address fax:** (925) 240-2156
- **Mailing address:** 2400 BALFOUR RD, SUITE 320, BRENTWOOD, CA 94513-4945
- **Mailing address phone:** (925) 240-2059
- **Mailing address fax:** (925) 240-2156

## Taxonomy

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

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 08/22/2023