Jody Lynn Ullom
MD | Pediatrics | Female
Jody Lynn Ullom, MD is a San Rafael, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jody Lynn Ullom is
1004 Northgate Dr, San Rafael, California - 94903-2502. She can be contacted on phone at
415-590-6150 and fax number 415-578-3118.
Jody Lynn Ullom is a sole proprietor of her business.
NPI number (Unique professional ID) for Jody Lynn Ullom is
1417916990 which was assigned by NPPES on 22 Mar, 2006 and it was last updated on 18 May, 2016.
Jody Lynn Ullom license number is
G77729 for Pediatrics (208000000X) in California.
Jody Lynn Ullom is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jody Lynn Ullom basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jody Lynn Ullom |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Jody Lynn Ullom 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 : | 1004 Northgate Dr
San Rafael, CA, 94903-2502
United States |
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| Phone Number : | 415-590-6150 |
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| Fax Number : | 415-578-3118 |
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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 : | 1417916990 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Mar, 2006 |
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| Last Updated On : | 18 May, 2016 |
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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 Jody Lynn Ullom are as mentioned. Primary taxonomy code for Jody Lynn Ullom, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | G77729 | 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 : | 1004 Northgate Dr
San Rafael, CA, 94903-2502
United States |
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| Phone Number : | 415-590-6150 |
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| Fax Number : | 415-578-3118 |
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Business Location:
Patients can refer following map for directions to
Jody Lynn Ullom practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.