Provider Demographics
NPI:1497637680
Name:TEJERO, HUGO RICARDO
Entity type:Individual
Prefix:
First Name:HUGO
Middle Name:RICARDO
Last Name:TEJERO
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 BERKELEY PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:CA
Mailing Address - Zip Code:94707-1202
Mailing Address - Country:US
Mailing Address - Phone:510-816-7317
Mailing Address - Fax:510-816-7317
Practice Address - Street 1:309 BERKELEY PARK BLVD
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:CA
Practice Address - Zip Code:94707-1202
Practice Address - Country:US
Practice Address - Phone:510-816-7317
Practice Address - Fax:510-816-7313
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker