Healthcare Provider Details

I. General information

NPI: 1568060481
Provider Name (Legal Business Name): AIMEE TRUJILLO DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2020
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22600C LAMBERT ST STE 901
LAKE FOREST CA
92630-1607
US

IV. Provider business mailing address

24611 SHADOWFAX DR
LAKE FOREST CA
92630-3622
US

V. Phone/Fax

Practice location:
  • Phone: 949-207-3317
  • Fax: 949-449-8802
Mailing address:
  • Phone: 949-207-3317
  • Fax: 949-449-8802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. AIMEE KATHARINE BELIER TRUJILLO
Title or Position: OWNER
Credential: DDS
Phone: 949-207-3317