Provider Demographics
NPI:1265905939
Name:TRUJILLO, ALEJANDRO (BA)
Entity type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:
Last Name:TRUJILLO
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 LENNON LN STE 100
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2460
Mailing Address - Country:US
Mailing Address - Phone:925-289-1090
Mailing Address - Fax:925-289-1239
Practice Address - Street 1:2919 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3917
Practice Address - Country:US
Practice Address - Phone:562-499-9775
Practice Address - Fax:415-647-3662
Is Sole Proprietor?:No
Enumeration Date:2019-01-05
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician