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

Brentwood Orthopedic and Spine Surgery LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1821498635

Brentwood Orthopedic and Spine Surgery LLC is an Ambulatory Surgical Clinic/Center in Los Angeles, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11980 San Vicente Blvd Ste 110
Los Angeles, CA 90049-5012
Phone: (310) 337-7463
Fax: (310) 442-8336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence A100370 (CA)

Record details

NPI number1821498635
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Moshe Wilker — President · (310) 337-7463
NPI enumeratedAugust 28, 2014
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024
Mailing address11980 San Vicente Blvd, Suite 110, Los Angeles, CA 90049-5012

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