Individual
EMILY TEJEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
29525 CANWOOD ST STE 219, AGOURA HILLS, CA 91301-4231
(818) 865-8133
(818) 865-1223
Mailing address
PO BOX 671, AGOURA HILLS, CA 91376-0671
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/24/2019
Last updated
02/04/2021
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