Individual
DR. HERMINIO OJEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2030 SUTTER PL, SUITE 1000, DAVIS, CA 95616-6212
(530) 750-5890
(530) 750-5859
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C53549
CA
208600000X
Surgery Physician
L4616
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168777401
CIDC
TX
05
—
168777401
—
TX
Enumeration date
08/10/2006
Last updated
07/29/2015
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