Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | A88853 | CA |
NPI | 1326181165 |
---|---|
Provider Name | Isabel Christina Tejeda |
First Address | Union City, CA 94587-1507 |
Second Address | Union City, CA 94587-1507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 09/12/2021 |