Individual ProviderBrenda Moedano GomezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address9620 Chesapeake Dr Ste 204, San Diego, CA 92123-1324(858) 203-1926PECOS EnrollmentBased on the most recent information from CMS, provider Brenda Moedano Gomez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1184553968Provider TypeIndividualFull NameMoedano Gomez, BrendaGenderFemaleSole ProprietorNoEnumeration Date5/18/2026Last Updated5/18/2026Contact InformationPractice LocationPractice Address9620 Chesapeake Dr Ste 204, San Diego, CA 92123-1324Phone(858) 203-1926FaxUnlisted FaxMailing LocationMailing Address9620 Chesapeake Dr Ste 204, San Diego, CA 92123-1324PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCalifornia