Healthcare Provider Details

I. General information

NPI: 1033064696
Provider Name (Legal Business Name): GLORIA CRISTINA PULIDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2026
Last Update Date: 02/28/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3840 W CHANNEL ISLANDS BLVD
OXNARD CA
93035-4001
US

IV. Provider business mailing address

3840 W CHANNEL ISLANDS BLVD
OXNARD CA
93035-4001
US

V. Phone/Fax

Practice location:
  • Phone: 805-816-2866
  • Fax:
Mailing address:
  • Phone: 805-816-2866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT161974
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: