Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brentwood Ambulatory Surgical Medical Center

Organization Ophthalmologic Surgery Clinic/Center · NPI 1588737035

Brentwood Ambulatory Surgical Medical Center is an Ophthalmologic Surgery Clinic/Center in Los Angeles, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

11645 Wilshire Blvd 905
Los Angeles, CA 90025-1708
Phone: (310) 442-9262
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmologic Surgery Clinic/Center (primary) Taxonomy 261QS0132X · Licence 9300009000 (CA)

Record details

NPI number1588737035
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randi Fett — Administrator · (310) 442-9262
NPI enumeratedNovember 15, 2006
Last updated in NPPESAugust 22, 2020
Mailing address11645 Wilshire Blvd, Los Angeles, CA 90025-1708

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