Provider Demographics
NPI:1073214896
Name:VALENZUELA TRUJILLO, ARMANDO CARLOS (MSW)
Entity Type:Individual
Prefix:
First Name:ARMANDO
Middle Name:CARLOS
Last Name:VALENZUELA TRUJILLO
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:ARMANDO
Other - Middle Name:CARLOS
Other - Last Name:TRUJILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:4913 PICO AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-3119
Mailing Address - Country:US
Mailing Address - Phone:661-496-1609
Mailing Address - Fax:
Practice Address - Street 1:4913 PICO AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-3119
Practice Address - Country:US
Practice Address - Phone:661-496-1609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW109055390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program