Healthcare Provider Details
I. General information
NPI: 1174006100
Provider Name (Legal Business Name): MONICA CEJA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/14/2018
Last Update Date: 06/05/2023
Certification Date: 06/05/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 S MAIN ST
SALINAS CA
93901-2352
US
IV. Provider business mailing address
8701 MAITLAND SUMMIT BLVD
ORLANDO FL
32810-5915
US
V. Phone/Fax
- Phone: 831-755-4414
- Fax: 831-465-5830
- Phone: 407-574-4629
- Fax: 407-965-4480
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174H00000X |
| Taxonomy | Health Educator |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: