MEDICARE: VICTORIA TRUJILLO CHANDLER FNP

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	363LF0000X	Family Nurse Practitioner	95019336	CA

General Provider Information

NPI Number	:	1366102154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA TRUJILLO CHANDLER FNP

Provider Business Mailing Address
First Line	:	29826 HAUN RD # 314
Second Line	:
City	:	MENIFEE
State	:	CA
Zip	:	92586-6546
Country	:	US
Telephone Number	:	951-381-8150
Fax Number	:

Provider Business Practice Location Address
First Line	:	29826 HAUN RD # 314
Second Line	:
City	:	MENIFEE
State	:	CA
Zip	:	92586-6546
Country	:	US
Telephone Number	:	951-381-8150
Fax Number	:

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

Provider Enumeration Date	:	12/21/2021
Last Update Date	:	05/28/2026

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