Healthcare Provider Details

I. General information

NPI: 1154274702
Provider Name (Legal Business Name): TRISTINE GARRIDO PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2026
Last Update Date: 02/16/2026
Certification Date: 02/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7934 WOODMAN AVE APT 28
VAN NUYS CA
91402-7515
US

IV. Provider business mailing address

7934 WOODMAN AVE APT 28
VAN NUYS CA
91402-7515
US

V. Phone/Fax

Practice location:
  • Phone: 818-641-2643
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number859592
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: