Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Hadi Koesnodihardjo

Individual provider Marriage & Family Therapist · NPI 1073735700

Hadi Koesnodihardjo is a Marriage and Family Therapist in Redwood City, California. Qualified in 2006, 20 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2007
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Practice location Address checks out

855 Jefferson Ave Unit 70
Redwood City, CA 94064-7200
Phone: (415) 968-9540
Fax: (650) 550-9189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence MFC50900 (CA)

Record details

NPI number1073735700
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 3, 2007
Last updated in NPPESDecember 21, 2025
Certification dateDecember 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Redwood City