Provider Demographics
NPI:1538327192
Name:CEJA, SANDRA (MSW)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:
Last Name:CEJA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9101 WHITTIER BLVD
Mailing Address - Street 2:
Mailing Address - City:PICO RIVERA
Mailing Address - State:CA
Mailing Address - Zip Code:90660-2405
Mailing Address - Country:US
Mailing Address - Phone:562-801-4626
Mailing Address - Fax:562-801-4630
Practice Address - Street 1:1000 CORPORATE CENTER DR
Practice Address - Street 2:#650
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-7600
Practice Address - Country:US
Practice Address - Phone:323-526-4016
Practice Address - Fax:323-526-4791
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23850101YM0800X
CA871021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health