Simon Pedro Trujillo, IDC
NPI #1639793607 in San Clemente, California
Provider Information
- NPI Number
- 1639793607
- Entity Type
- Individual
- Name
- Simon Pedro Trujillo, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Jun 4, 2020
- Last Updated
- Jun 4, 2020
Practice Location
- Address
- 85 SANDPIPER AVE
- City
- San Clemente
- State
- California
- ZIP Code
- 92672-2616
- Phone
- (469) 734-1658
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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