Provider Demographics
NPI:1083305775
Name:OJEDA, MARIA ISABEL (MA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ISABEL
Last Name:OJEDA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:ISABEL
Other - Last Name:CORONA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:1119 E MONTE VISTA AVE # MS 32-175
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-3009
Mailing Address - Country:US
Mailing Address - Phone:707-469-4610
Mailing Address - Fax:707-448-1119
Practice Address - Street 1:1119 E MONTE VISTA AVE # MS 32-175
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-3009
Practice Address - Country:US
Practice Address - Phone:707-469-4610
Practice Address - Fax:707-448-1119
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker