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NPI Code Detail

MEDICARE: JASMINE MONIQUE TRUJILLO

MEDICARE: JASMINE MONIQUE TRUJILLO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor25424CA

General Provider Information

NPI Number : 1265364491
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE MONIQUE TRUJILLO
Provider Business Mailing Address
First Line : 1127 S 38TH ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92113-3210
Country : US
Telephone Number : 619-262-4002
Fax Number : 619-264-2864
Provider Business Practice Location Address
First Line : 1127 S 38TH ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92113-3210
Country : US
Telephone Number : 619-262-4002
Fax Number : 619-264-2864
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ JASMINE MONIQUE TRUJILLO ” Practice Location

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