Dr. Brenda Liliana Gandara
Rehabilitation Counselor Rehabilitation Practitioner Clinical Psychologist
15615 Alton Pkwy Ste 230
Irvine
, California 92618-7306
Dr. Brenda Liliana Gandara
Rehabilitation Counselor Rehabilitation Practitioner Clinical Psychologist
15615 Alton Pkwy Ste 230
Irvine
, California 92618-7306
(949) 528-6300
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About
Features
Specialties
- Clinical Psychologist
- Rehabilitation Practitioner
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Dr. Brenda Liliana Gandara
- 15615 Alton Pkwy Ste 230
- Irvine, CA
- Zip : 92618-7306
- Phone : (949) 528-6300
Second Address
- Dr. Brenda Liliana Gandara
- 15615 Alton Pkwy Ste 230
- Irvine, CA
- Zip : 92618-7306
- Phone : (949) 528-6300
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Is Dr. Brenda Liliana Gandara a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PSY31390 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY31390 | CA |
| N | 225400000X | Rehabilitation Practitioner | ||
| N | 225400000X | Rehabilitation Practitioner | CA | |
| N | 225C00000X | Rehabilitation Counselor |
National Provider Identifier
| NPI | 1275046385 |
|---|---|
| Provider Name | Dr. Brenda Liliana Gandara |
| First Address | Irvine, CA 92618-7306 |
| Second Address | Irvine, CA 92618-7306 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/11/2017 |
| Last Update Date | 05/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.