Provider Demographics
NPI:1174006100
Name:CEJA, MONICA
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:CEJA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8701 MAITLAND SUMMIT BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-5915
Mailing Address - Country:US
Mailing Address - Phone:407-574-4629
Mailing Address - Fax:407-965-4480
Practice Address - Street 1:1000 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2352
Practice Address - Country:US
Practice Address - Phone:831-755-4414
Practice Address - Fax:831-465-5830
Is Sole Proprietor?:No
Enumeration Date:2018-09-14
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator