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Organization

BRENTVIEW MEDICAL INC.

Active
Parent organization
BRENTVIEW MEDICAL INC
Other names
Brentview Medical Urgent Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
BRENTVIEW MEDICAL INC
Authorized official
RAPHAEL DARVISH (AUTHORIZED OFFICIAL)
(310) 826-2555
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
02/12/2021
Last updated
10/21/2021
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