Healthcare Provider Details

I. General information

NPI: 1932023835
Provider Name (Legal Business Name): IRENE R TRUJILLO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7310 MONITOR ST
BAKERSFIELD CA
93307-7221
US

IV. Provider business mailing address

1624 FAIRVIEW RD
BAKERSFIELD CA
93307-5512
US

V. Phone/Fax

Practice location:
  • Phone: 661-837-6000
  • Fax: 661-338-5627
Mailing address:
  • Phone: 661-837-6000
  • Fax: 661-338-5627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberD766685330
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: