Provider Demographics
NPI:1376050419
Name:AIMEE TRUJILLO D.D.S. INC.
Entity Type:Organization
Organization Name:AIMEE TRUJILLO D.D.S. INC.
Other - Org Name:THE SNOOZE DOC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
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 1:740 S OLIVE ST STE 105
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90014-2620
Mailing Address - Country:US
Mailing Address - Phone:213-534-6856
Mailing Address - Fax:213-935-8210
Practice Address - Street 1:740 S OLIVE ST STE 105
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90014-2620
Practice Address - Country:US
Practice Address - Phone:213-534-6856
Practice Address - Fax:213-935-8210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-10
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1223G0001X
CA60965332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty