Provider Demographics
NPI:1336964618
Name:PULIDO, ISABEL SOLEDAD (EMT)
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:SOLEDAD
Last Name:PULIDO
Suffix:
Gender:F
Credentials:EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2374 HARBOR BLVD APT 201
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-6284
Mailing Address - Country:US
Mailing Address - Phone:714-393-2704
Mailing Address - Fax:
Practice Address - Street 1:2374 HARBOR BLVD APT 201
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-6284
Practice Address - Country:US
Practice Address - Phone:714-393-2704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE181394146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic