Healthcare Provider Details

I. General information

NPI: 1811850084
Provider Name (Legal Business Name): ROCIO PULIDO GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1955 CITRACADO PKWY STE 301
ESCONDIDO CA
92029-4113
US

IV. Provider business mailing address

1328 LONGFELLOW RD
VISTA CA
92081-9060
US

V. Phone/Fax

Practice location:
  • Phone: 760-294-1660
  • Fax:
Mailing address:
  • Phone: 858-263-9022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number95037794
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: