Individual
ANGELYA BERENICE TEJEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6422 REPTON ST, LOS ANGELES, CA 90042-2836
(323) 440-8397
(323) 340-8806
Mailing address
6422 REPTON ST, LOS ANGELES, CA 90042-2836
(323) 440-8397
(323) 340-8806
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015183755
KAISER PERMANENTE
CA
Enumeration date
03/13/2014
Last updated
03/13/2014
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