MEDICARE: BRENDA E BELTRAN ORELLANA

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	390200000X	Student in an Organized Health Care Education/Training Program
2	106H00000X	Marriage & Family Therapist	154921	CA
3	225400000X	Rehabilitation Practitioner
4	106H00000X	Marriage & Family Therapist	141599	CA

General Provider Information

NPI Number	:	1033561667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA E BELTRAN ORELLANA

Provider Business Mailing Address
First Line	:	9808 VENICE BLVD
Second Line	:	STE. 505
City	:	CULVER CITY
State	:	CA
Zip	:	90232-2732
Country	:	US
Telephone Number	:	310-945-3350
Fax Number	:	310-945-3356

Provider Business Practice Location Address
First Line	:	9808 VENICE BLVD
Second Line	:	STE. 505
City	:	CULVER CITY
State	:	CA
Zip	:	90232-2732
Country	:	US
Telephone Number	:	310-945-3350
Fax Number	:	310-945-3356

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

Provider Enumeration Date	:	07/07/2016
Last Update Date	:	04/13/2026

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