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NPI Code Detail

MEDICARE: DENISE ALEXANDRIA CEJA

MEDICARE:   DENISE ALEXANDRIA CEJA
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
11041C0700XClinical Social WorkerLCSW 72502CA

General Provider Information

NPI Number : 1417349358
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE ALEXANDRIA CEJA
Provider Business Mailing Address
First Line : 6551 VAN NUYS BLVD
Second Line :
City : VAN NUYS
State : CA
Zip : 91401-1566
Country : US
Telephone Number : 818-988-6335
Fax Number : 818-988-6817
Provider Business Practice Location Address
First Line : 6551 VAN NUYS BLVD
Second Line :
City : VAN NUYS
State : CA
Zip : 91401-1566
Country : US
Telephone Number : 818-988-6335
Fax Number : 818-988-6817
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2015
Last Update Date : 01/20/2017

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Directions to “ DENISE ALEXANDRIA CEJA ” Practice Location

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