Dr. Fernando Ulloa
M.D. | Pediatric Adolescent Medicine | Male
Dr. Fernando Ulloa, M.D. is a San Rafael, California based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Fernando Ulloa is
711 D St, Suite 113, San Rafael, California - 94901-3707. He can be contacted on phone at
415-454-4100.
Dr. Fernando Ulloa is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Fernando Ulloa is
1124140686 which was assigned by NPPES on 04 Apr, 2007 and it was last updated on 08 Jul, 2007.
Dr. Fernando Ulloa license number is
G49903 for Pediatrics Adolescent Medicine (2080A0000X) in California.
Dr. Fernando Ulloa specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Fernando Ulloa basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Fernando Ulloa |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Fernando Ulloa address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 711 D St, Suite 113
San Rafael, CA, 94901-3707
United States |
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| Phone Number : | 415-454-4100 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1124140686 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Apr, 2007 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Fernando Ulloa are as mentioned. Primary taxonomy code for Dr. Fernando Ulloa, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | G49903 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Fernando Ulloa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00G49903 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1938
Mill Valley, CA, 94942-1938
United States |
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| Phone Number : | 415-454-4100 |
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Business Location:
Patients can refer following map for directions to
Dr. Fernando Ulloa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.