Jesse Ceja
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · South Gate, CA
NPI 1093579732 · NPPES record last updated Feb 13, 2024
Key facts
- NPI
- 1093579732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 8921 California Ave
South Gate, CA 90280-3013 - Phone
- (323) 487-5002
- NPI assigned
- Feb 13, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
8921 California Ave
South Gate, CA 90280-3013
Mailing address
12070 Telegraph Rd
Santa Fe Springs, CA 90670-3771
Phone (562) 777-7500
Other providers in South Gate, CA
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- Maria J Casio
- Victor H. Castellanos
- Karon Miles Cayton
- Celerina B Medina MD Inc
- Central Endodontics Inc
- Tiffany Ting Chan
- Chander Medical Associates
- Chapel Medical Clinic
All providers in South Gate, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.