MEDICARE: FRANK L CEJA DDS

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
1	1223G0001X	General Practice Dentistry	41236	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487702114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK L CEJA DDS

Provider Business Mailing Address
First Line	:	3007 HIGHLAND AVE
Second Line	:	STE 3
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-7451
Country	:	US
Telephone Number	:	619-477-2189
Fax Number	:	619-477-3400

Provider Business Practice Location Address
First Line	:	3007 HIGHLAND AVE
Second Line	:	STE 3
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-7451
Country	:	US
Telephone Number	:	619-477-2189
Fax Number	:	619-477-3400

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	07/08/2007

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