Organization
BRENTWOOD DERMATOLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK H SILVERS M.D. (PRESIDENT)
(310) 826-2051
Entity
Organization
Contact information
Practice address
11980 SAN VICENTE BLVD, SUITE # 120, LOS ANGELES, CA 90049-5012
(310) 826-2051
(310) 979-0185
Mailing address
11980 SAN VICENTE BLVD., SUITE # 120, LOS ANGELES, CA 90049
(310) 826-2051
(310) 979-0185
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/05/2006
Last updated
09/08/2025
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