Provider Demographics
NPI:1932094521
Name:PULIDO, HECTOR RICARDO
Entity type:Individual
Prefix:
First Name:HECTOR
Middle Name:RICARDO
Last Name:PULIDO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 COTTONWOOD ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-2514
Mailing Address - Country:US
Mailing Address - Phone:707-359-8930
Mailing Address - Fax:
Practice Address - Street 1:435 ASPEN ST
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-2665
Practice Address - Country:US
Practice Address - Phone:530-662-5727
Practice Address - Fax:530-668-1198
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA740548164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse