Jorge Luis Trujillo, | |
2640 Industry Way, Lynwood, CA 90262-4284 | |
(310) 631-8004 | |
Not Available |
Full Name | Jorge Luis Trujillo |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2640 Industry Way, Lynwood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801978374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 18983 (California) | Primary |
163WP0808X | Registered Nurse - Psychiatric/mental Health | 597263 (California) | Secondary |
Entity Name | Inland Psychiatric Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649217761 PECOS PAC ID: 9436062312 Enrollment ID: O20031106000736 |
Entity Name | Enki Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932230638 PECOS PAC ID: 8022926559 Enrollment ID: O20040117000204 |
Mailing Address | Practice Location Address |
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Jorge Luis Trujillo, 1920 Marengo St, Los Angeles, CA 90033-1317 Ph: (323) 276-6400 | Jorge Luis Trujillo, 2640 Industry Way, Lynwood, CA 90262-4284 Ph: (310) 631-8004 |
Janee' Brown, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3737 Martin Luther King Jr Blvd, Suite 605b, Lynwood, CA 90262 Phone: 310-639-9363 Fax: 310-639-9251 | |
Ms. Candita Potts, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3628 E Imperial Hwy, Lynwood, CA 90262 Phone: 310-603-2345 | |
Stephen Joseph Brown, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2610 Industry Way, Suite A, Lynwood, CA 90262 Phone: 714-329-6699 | |
Susan Ruiz, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4200 Cortland St, Lynwood, CA 90262 Phone: 323-494-3267 | |
Christine Chairez Chandler, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3624 Martin Luther King Jr Bl, Lynwood, CA 90262 Phone: 310-223-1035 Fax: 310-638-9080 | |
Margaret E Hashaway, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3620 Martin Luther King Jr Blvd, Lynwood, CA 90262 Phone: 424-785-5050 | |
Vernica Neche Foots, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2640 Industry Way, Lynwood, CA 90262 Phone: 310-627-4525 |