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NPI Code Detail

MEDICARE: STEFANIE BRENNAN NP

MEDICARE: STEFANIE BRENNAN NP
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
1363LA2200XAdult Health Nurse Practitioner95003091CA

General Provider Information

NPI Number : 1396117800
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFANIE BRENNAN NP
Provider Business Mailing Address
First Line : 5767 W CENTURY BLVD STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-5631
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 UCLA MEDICAL PLZ STE 630
Second Line :
City : LOS ANGELES
State : CA
Zip : 90024-6997
Country : US
Telephone Number : 310-825-9011
Fax Number : 310-825-9012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2015
Last Update Date : 03/02/2026

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Directions to “ STEFANIE BRENNAN NP” Practice Location

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