Dermatology
BRENTWOOD DERMATOLOGY MEDICAL GROUP INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1427089911 · enumerated 2006-07-05 · record updated 2025-09-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. JACK SILVERS M.D., President · (310) 826-2051
Addresses and phones
- Practice location 11980 SAN VICENTE BLVD, SUITE # 120, LOS ANGELES, CA, 90049-5012 (310) 826-2051 Fax (310) 979-0185 Google Maps Apple Maps OpenStreetMap
- Mailing address 11980 SAN VICENTE BLVD., SUITE # 120, LOS ANGELES, CA, 90049 (310) 826-2051 Fax (310) 979-0185 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary
In this directory
Locations and evidence
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Practice location
LOS ANGELES, CA, 900495012
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.