Healthcare Provider Details

I. General information

NPI: 1386553345
Provider Name (Legal Business Name): GABRIELA PULIDO, LMFT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19712 MACARTHUR BLVD STE 215
IRVINE CA
92612-2407
US

IV. Provider business mailing address

407 W IMPERIAL HWY STE H
BREA CA
92821-4803
US

V. Phone/Fax

Practice location:
  • Phone: 714-356-4165
  • Fax:
Mailing address:
  • Phone: 714-356-4165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: GABRIELA FOUNTAIN
Title or Position: OWNER
Credential: LMFT
Phone: 714-356-4165