Provider Demographics
NPI:1568060481
Name:AIMEE TRUJILLO DDS INC
Entity type:Organization
Organization Name:AIMEE TRUJILLO DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:KATHARINE BELIER
Authorized Official - Last Name:TRUJILLO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-207-3317
Mailing Address - Street 1:24611 SHADOWFAX DR
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-3622
Mailing Address - Country:US
Mailing Address - Phone:949-207-3317
Mailing Address - Fax:949-449-8802
Practice Address - Street 1:22600C LAMBERT ST STE 901
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-1607
Practice Address - Country:US
Practice Address - Phone:949-207-3317
Practice Address - Fax:949-449-8802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty