Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Brentwood Dermatology Medical Group Inc

Organization Dermatology Physician · NPI 1427089911

Brentwood Dermatology Medical Group Inc provides Dermatology Physician services in Los Angeles, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11980 San Vicente Blvd Ste # 120
Los Angeles, CA 90049-5012
Phone: (310) 826-2051
Fax: (310) 979-0185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1427089911
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Silvers — President · (310) 826-2051
NPI enumeratedJuly 5, 2006
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing address11980 San Vicente Blvd., Suite # 120, Los Angeles, CA 90049

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