Individual ProviderBrenda AsilnejadPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address1200 N State St, Clinic Tower A7d, Los Angeles, CA 90033-1029(310) 991-9572PECOS EnrollmentBased on the most recent information from CMS, provider Brenda Asilnejad is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1508561879Provider TypeIndividualFull NameAsilnejad, BrendaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/4/2023Last Updated4/29/2025Contact InformationPractice LocationPractice Address1200 N State St, Clinic Tower A7d, Los Angeles, CA 90033-1029Phone(310) 991-9572FaxUnlisted FaxMailing LocationMailing Address472 N Bowling Green Way, Los Angeles, CA 90049-2820PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA197122CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer