Healthcare Provider Details

I. General information

NPI: 1407347057
Provider Name (Legal Business Name): LOUISE GUADALUPE GASKA-PULIDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2018
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15600 CONCORD CIR
MORGAN HILL CA
95037-7110
US

IV. Provider business mailing address

15600 CONCORD CIR
MORGAN HILL CA
95037-7110
US

V. Phone/Fax

Practice location:
  • Phone: 408-201-6141
  • Fax:
Mailing address:
  • Phone: 408-201-6141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number136780
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number136780
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number136780
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: