Provider Demographics
NPI:1932628526
Name:PULIDO, BRITTANY LORRAINE
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LORRAINE
Last Name:PULIDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15030 DEVONSHIRE ST
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-2741
Mailing Address - Country:US
Mailing Address - Phone:626-671-7155
Mailing Address - Fax:626-671-7155
Practice Address - Street 1:15030 DEVONSHIRE ST
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-2741
Practice Address - Country:US
Practice Address - Phone:562-237-6462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-14
Last Update Date:2025-09-19
Deactivation Date:2025-04-30
Deactivation Code:
Reactivation Date:2025-08-13
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty