Individual
DALE MICHAEL TRUJILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
18136
CA
363L00000X
Nurse Practitioner
Primary
NP95009664
CA
363LF0000X
Family Nurse Practitioner
95009664
CA
Other
Enumeration date
07/19/2011
Last updated
03/18/2021
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