Healthcare Provider Details

I. General information

NPI: 1841110350
Provider Name (Legal Business Name): SAVANNAH CLAIRE PULIDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36832 CALABAR CT
PALMDALE CA
93550-8423
US

IV. Provider business mailing address

36832 CALABAR CT
PALMDALE CA
93550-8423
US

V. Phone/Fax

Practice location:
  • Phone: 661-592-0701
  • Fax: 949-798-7443
Mailing address:
  • Phone: 661-592-0701
  • Fax: 949-798-7443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number10520
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: