Organization
BRENTVIEW MEDICAL INC.
Active
Other names
Brentview Medical Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
RAPHAEL DARVISH MD (AUTHORIZED OFFICIAL)
(310) 826-2555
Entity
Organization
Contact information
Practice address
11611 SAN VICENTE BLVD, GROUND FLOOR, LOS ANGELES, CA 90049-5106
(310) 820-0013
(310) 207-2630
Mailing address
11611 SAN VICENTE BLVD, GROUND FLOOR, 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
01/18/2010
Last updated
10/21/2021
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