Most Relevant Information
Provider Data
| NPI Number: | 1003370073 |
| Provider Name: | MICHAEL ANDREW TRUJILLO CADCII |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | A016110315 |
Most Important Dates
| Enumeration Date: | 01/24/2019 |
| Last Updated: | 01/24/2019 |
Provider Practice Location
11600 ELDRIDGE AVE
LAKE VIEW TERRACE
CA
913426506
Practice Location Phone/Fax
| Phone: | 8186863177 |
| Fax: |
Provider Mailing Location
3920 NEW YORK AVE
LA CRESCENTA
CA
912143349
Provider Mailing Phone/Fax
| Phone: | 8182495040 |
| Fax: |