Healthcare Provider Details

I. General information

NPI: 1023941861
Provider Name (Legal Business Name): IRMA ALENADRA TIJERINA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: IRMA ALEJANDRA CRISTERNA-CEJA DDS

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78-595 CA-111 STE 300
LA QUINTA CA
92253
US

IV. Provider business mailing address

78-595 CA-111 STE 300
LA QUINTA CA
92253
US

V. Phone/Fax

Practice location:
  • Phone: 760-771-0300
  • Fax:
Mailing address:
  • Phone: 760-771-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number112906
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: