Individual
BRENNA MOELJADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2299 POST ST STE 207, SAN FRANCISCO, CA 94115-3473
(415) 530-5335
(415) 530-5336
Mailing address
4555 STROHM AVE, TOLUCA LAKE, CA 91602-1515
(310) 922-5860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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