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NPI Code Detail

MEDICARE: ANGELICA CEJA NA

MEDICARE: ANGELICA CEJA NA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1336617695
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELICA CEJA NA
Provider Business Mailing Address
First Line : 21600 OXNARD ST STE 1800
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-7807
Country : US
Telephone Number : 818-345-2345
Fax Number :
Provider Business Practice Location Address
First Line : 11150 W OLYMPIC BLVD STE 1160
Second Line :
City : LOS ANGELES
State : CA
Zip : 90064-1826
Country : US
Telephone Number : 424-559-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2018
Last Update Date : 03/04/2026

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Directions to “ ANGELICA CEJA NA” Practice Location

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