JESICA PULIDO M.D. - NPI 1639437494 - Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Jesica Pulido M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESICA PULIDO M.D. (NPI 1639437494) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1639437494

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJESICA PULIDOCredential: M.D.

Location Address11234 ANDERSON ST, GME OFFICE CSP 21005Loma Linda, CA 92354-2804

Mailing Address11234 Anderson St, Gme Office Csp 21005Loma Linda, CA 92354-2804 · (909) 651-5809 · Fax (909) 558-4087

Phone(909) 651-5809

Fax(909) 558-4087

Sole ProprietorNo

Enumeration DateApril 30, 2012

✔ NPI 1639437494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

11234 ANDERSON ST, Loma Linda, CA 92354

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