BROTMAN MEDICAL CENTER, INC. (NPI# 1679840169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679840169 |
| Entity Type | Organization |
| Organization Name | BROTMAN MEDICAL CENTER, INC. |
| Other Organization Name | BROTMAN MEDICAL CENTER |
| Practice Address |
3828 Delmas Ter Culver City CA 90232-2713 |
| Practice Telephone | 3108367000 |
| Practice Fax Number | 3102024186 |
| Mailing Telephone | 3108367000 |
| Mailing Fax Number | 3102024186 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |
| Authorized Official Name | MR. GARRISON GRAWOIG DELEE (CORPORATE COUNSEL) |
| Authorized Official Telephone | 3108367000 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | 930000022 | CA | Hospital Units |
| Other Name | Type Code |
|---|---|
| Brotman Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205925054 | Brotman Medical Center, Inc. | General Acute Care Hospital | 3828 Delmas Terrace, Culver City, CA 90232-2713 | 2006-10-12 |
| 1881788891 | Brotman Medical Center, Inc. | Psychiatric Unit | 3828 Delmas Terrace, Culver City, CA 90232-2713 | 2006-10-03 |
| 1518997733 | Brotman Medical Center, Inc. | Skilled Nursing Facility | 3828 Delmas Terrace, Culver City, CA 90232-2713 | 2006-07-04 |
| Street Address |
3828 DELMAS TER |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90232-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235137712 | Robert Rosenbloom | Emergency Medicine | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2005-07-08 |
| 1528687928 | Josephine Hunt-korn | Physical Therapist | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2020-04-15 |
| 1679109862 | Emily Rueter | Occupational Therapist | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2020-03-19 |
| 1952946956 | Amelle Joseph Baptiste Porter | Psychiatry & Neurology | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2019-11-13 |
| 1235601642 | Michael Yee | Pharmacist | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2018-12-23 |
| 1518465061 | Jill Chang | Pharmacist | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2018-01-30 |
| 1497290092 | Teresa Lo | Pharmacist | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2017-01-05 |
| 1124498571 | Khatoun Yazdannejad | Registered Nurse | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2015-09-29 |
| 1104203231 | Phuong Tran | General Acute Care Hospital | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2015-04-27 |
| 1053704668 | Olen Henry | Registered Nurse | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2015-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306328430 | Kayla Brass | Physical Therapist | 11056 Washington Blvd Suite C, Culver City, CA 90232 | 2018-09-05 |
| 1861911265 | Caitlyn Handy | Social Worker | 4194 Duquesne Ave, Apt 2, Culver City, CA 90232 | 2017-09-17 |
| 1639695109 | Ashlyn Herrian | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd., Ste. 505, Culver City, CA 90232 | 2017-08-16 |
| 1922522911 | Kendra Lopez | Rehabilitation Practitioner | 9808 Venice Blvd Suite 700, Culver City, CA 90232 | 2017-08-01 |
| 1740677335 | Michelle Adams | Psychologist | 10866 Washington Blvd #718, Culver City, CA 90232 | 2015-04-21 |
| 1164814976 | Alexander Gersh | Speech-Language Pathologist | 3844 Culver Ctr Ste B, Culver City, CA 90232 | 2015-03-03 |
| 1497161145 | Anila Ladak | Nurse Practitioner | 3828 Delmos Ter, Southern California Hospital At Culver City, Culver City, CA 90232 | 2014-07-02 |
| 1235554908 | Rochelle Skinner Dds Dental Corporation | Dentist | 9702 Venice Blvd, Suite B, Culver City, CA 90232 | 2014-03-04 |
| 1316361173 | Krisena Borenstein | Dentist | 10811 Washington Blvd. Suite #200, Culver City, CA 90232 | 2014-02-13 |
| 1154689925 | Lawrence S Levy | Physical Therapist | 11479 Jefferson Blvd, Culver City, CA 90232 | 2012-04-30 |
| Find all providers in zip 90232 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841766 | Los Angeles Centers for Alcohol and Drug Abuse | Rehabilitation, Substance Use Disorder Unit | 305 S Central Ave, Los Angeles, CA 90013-1709 | 2020-08-10 |
| 1760002299 | Avalon Outpatient Services | Rehabilitation, Substance Use Disorder Unit | 1547 N Avalon Blvd, Wilmington, CA 90744-1552 | 2020-04-24 |
| 1356960512 | Los Angeles Centers for Alcohol and Drug Abuse | Rehabilitation, Substance Use Disorder Unit | 8919 California Ave, South Gate, CA 90280-3013 | 2020-04-08 |
| 1144860073 | Starbridge Recovery, LLC | Rehabilitation, Substance Use Disorder Unit | 3943 Fredonia Dr, Los Angeles, CA 90068-1213 | 2020-01-08 |
| 1376190918 | Psychnp Consultants, Inc | Rehabilitation, Substance Use Disorder Unit | 8500 Crown Prince Ct, Elk Grove, CA 95624-1779 | 2019-08-19 |
| 1679126247 | Imperial County Behavioral Health Services | Rehabilitation, Substance Use Disorder Unit | 101 Hacienda Dr, Calexico, CA 92231-1889 | 2019-07-22 |
| 1831653617 | Journey Hillside Tarzana, LLC | Rehabilitation, Substance Use Disorder Unit | 4706 Viviana Dr, Tarzana, CA 91356-5039 | 2019-01-25 |
| 1205331709 | Recovery Corps Health Group, LLC | Rehabilitation, Substance Use Disorder Unit | 422 N Commonwealth Ave, Los Angeles, CA 90004-2301 | 2018-03-27 |
| 1124523618 | Recovery Corps, LLC | Rehabilitation, Substance Use Disorder Unit | 424 N Commonwealth Ave, Los Angeles, CA 90004-2301 | 2018-03-27 |
| 1063929602 | Recovery Corps, LLC | Rehabilitation, Substance Use Disorder Unit | 420 N Commonwealth Ave, Los Angeles, CA 90004-2301 | 2018-01-04 |
| Find all providers with the same taxonomy | ||||
| City | CULVER CITY |
| Zip Code | 90232 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.