Individual
HECTOR TEJEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 E HARDY ST, INGLEWOOD, CA 90301-4011
(310) 673-4660
Mailing address
PO BOX 2866, TORRANCE, CA 90509-2866
(310) 792-0601
(310) 792-9062
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101288772
VA
207L00000X
Anesthesiology Physician
G79038
CA
208VP0000X
Pain Medicine Physician
G79038
CA
208VP0014X
Interventional Pain Medicine Physician
G79038
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G790380
BLUE SHIELD
CA
Enumeration date
07/05/2006
Last updated
03/06/2026
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