Organization
BRENTWOOD ORTHOPEDIC AND SPINE SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOSHE H. WILKER M.D. (PRESIDENT)
(310) 337-7463
Entity
Organization
Contact information
Practice address
11980 SAN VICENTE BLVD, SUITE 110, LOS ANGELES, CA 90049-5012
(310) 337-7463
(310) 442-8336
Mailing address
11980 SAN VICENTE BLVD, SUITE 110, LOS ANGELES, CA 90049-5012
(310) 337-7463
(310) 442-8336
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A100370
CA
Other
Enumeration date
08/28/2014
Last updated
11/11/2024
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