MEDICARE: ROCIO 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
1	106S00000X	Behavior Technician		CA
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1427611235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROCIO TRUJILLO

Provider Business Mailing Address
First Line	:	990 W RENETTE AVE
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92020-5737
Country	:	US
Telephone Number	:	480-334-2425
Fax Number	:

Provider Business Practice Location Address
First Line	:	990 W RENETTE AVE
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92020-5737
Country	:	US
Telephone Number	:	480-334-2425
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2019
Last Update Date	:	04/17/2019

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Directions to “ ROCIO TRUJILLO ” Practice Location

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