Provider Demographics
NPI:1184683666
Name:MOILANEN, BRITA (MD)
Entity Type:Individual
Prefix:
First Name:BRITA
Middle Name:
Last Name:MOILANEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11875 DUBLIN BLVD
Mailing Address - Street 2:SUITTE C 140
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-2843
Mailing Address - Country:US
Mailing Address - Phone:925-587-2505
Mailing Address - Fax:925-587-2511
Practice Address - Street 1:1134 MURRIETA BLVD
Practice Address - Street 2:STE A
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4113
Practice Address - Country:US
Practice Address - Phone:925-449-7795
Practice Address - Fax:925-449-7953
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2012-10-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA86947208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics