Healthcare Provider Details

I. General information

NPI: 1801753785
Provider Name (Legal Business Name): MARIAN YOCELIN VALDES PULIDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47915 OASIS ST.
INDIO CA
92201
US

IV. Provider business mailing address

66170 ACOMA AVE
DESERT HOT SPRINGS CA
92240
US

V. Phone/Fax

Practice location:
  • Phone: 760-863-8632
  • Fax: 760-863-8631
Mailing address:
  • Phone: 760-993-1606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: