Trujillo, Simon Pedro

Trujillo, Simon Pedro is an individual health care provider with primary practice located at 85 Sandpiper Ave , San Clemente CA 92672-2616. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Trujillo, Simon Pedro can be contacted via phone (469) 734-1658.

Contact Information

Primary practice address
85 Sandpiper Ave San Clemente CA 92672-2616
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1639793607
LBN Legal business name Trujillo, Simon Pedro
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2020
Last updated Jun 4th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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