Individual
ELIDED TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1756 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 383-3669
Mailing address
4601 TELEPHONE RD STE 117, VENTURA, CA 93003-5672
(805) 642-7033
(805) 852-1906
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
565801433
TELECARE
CA
Enumeration date
08/01/2016
Last updated
04/23/2025
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