Individual
ERNESTO GALLARDO CEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 CARMEN LN STE A, SANTA MARIA, CA 93458-7768
(805) 348-1850
Mailing address
124 CARMEN LN STE A, SANTA MARIA, CA 93458-7768
(805) 348-1850
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689762486
TELECARE MCMILLIAN RANCH
—
Enumeration date
06/27/2024
Last updated
06/05/2025
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