MEDICARE: MS. BRENDA CORNEJO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	RT1444740526	CA

General Provider Information

NPI Number	:	1023823754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BRENDA CORNEJO

Provider Business Mailing Address
First Line	:	10564 HADDON AVE APT 607
Second Line	:
City	:	PACOIMA
State	:	CA
Zip	:	91331-2974
Country	:	US
Telephone Number	:	323-818-8673
Fax Number	:

Provider Business Practice Location Address
First Line	:	14530 SYLVAN ST
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91411-2324
Country	:	US
Telephone Number	:	818-582-8832
Fax Number	:	818-582-8836

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2025
Last Update Date	:	05/26/2026

Similar Medicare Providers

1851136584 — CYNTHIA GARCIA OJEDA
Practice Location Address:

14530 SYLVAN ST
VAN NUYS, CA
91411-2324

Practice Phone: 818-582-8832
Practice Fax: 818-582-8836

1477341659 — MS. JULIE MELENDREZ
Practice Location Address:

14530 SYLVAN ST
VAN NUYS, CA
91411-2324

Practice Phone: 818-582-8832
Practice Fax: 818-582-8836

1871711986 — MISS IVONNE MONICA ROBLES
Practice Location Address:

14558 SYLVAN ST
VAN NUYS, CA
91411-2324

Practice Phone: 818-787-4151
Practice Fax: 818-787-2840

1386862357 — MS. YEVGENIYA SELEZNYEV
Practice Location Address:

14558 SYLVAN ST
VAN NUYS, CA
91411-2324

Practice Phone: 818-787-4151
Practice Fax: 818-787-2840

1720206865 — MISS JULIA DRABKIN
Practice Location Address:

14558 SYLVAN ST
VAN NUYS, CA
91411-2324

Practice Phone: 818-787-4151
Practice Fax: 818-787-2840

1649498791 — MR. STEVE ASHBEL
Practice Location Address:

14558 SYLVAN ST
VAN NUYS, CA
91411-2324

Practice Phone: 818-787-4151
Practice Fax: 818-787-2840

Directions to “ MS. BRENDA CORNEJO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.