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NPI Code Detail

MEDICARE: ROBERT L TRUJILLO MSW

MEDICARE: ROBERT L TRUJILLO MSW
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1568525061
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT L TRUJILLO MSW
Provider Business Mailing Address
First Line : 1738 S TREMONT ST
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-5309
Country : US
Telephone Number : 760-439-2800
Fax Number : 760-433-5031
Provider Business Practice Location Address
First Line : 1738 S TREMONT ST
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-5309
Country : US
Telephone Number : 760-439-2800
Fax Number : 760-433-5031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 07/08/2007

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Directions to “ ROBERT L TRUJILLO MSW” Practice Location

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