Provider Demographics
NPI:1982905170
Name:OJEDA, HEJIRA SMITH (MS)
Entity Type:Individual
Prefix:MRS
First Name:HEJIRA
Middle Name:SMITH
Last Name:OJEDA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3355 MISSION AVE
Mailing Address - Street 2:SUITE 238
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92058-1326
Mailing Address - Country:US
Mailing Address - Phone:760-453-2300
Mailing Address - Fax:760-453-2303
Practice Address - Street 1:3355 MISSION AVE
Practice Address - Street 2:SUITE 238
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92058-1326
Practice Address - Country:US
Practice Address - Phone:760-453-2300
Practice Address - Fax:760-453-2303
Is Sole Proprietor?:No
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 60983106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist