Ulloa, Fernando
Ulloa, Fernando is an sole proprietor health care provider with primary practice located at 711 D St Suite 113, San Rafael CA 94901-3707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Ulloa, Fernando can be contacted via phone (415) 454-4100.Contact Information
Primary practice address
711 D St Suite 113
San Rafael CA 94901-3707
Phone: (415) 454-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | G49903 | California |
Profile Details
| NPI number | 1124140686 |
|---|---|
| LBN Legal business name | Ulloa, Fernando |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124140686 | NPPES |
| California | MEDICAID | 00G49903 |
Popular Providers
-
Kaplan, Jessica
3700 24Th St Noe Valley Pediatrics, San Francisco CA 94114-3904 -
Teeple, Katherine A
1031 Avenida Pico Ste 106 , San Clemente CA 92673-6355 -
Najmabadi, Amir A
1600 San Fernando Rd , San Fernando CA 91340-3115 -
Gevelber, Mitchell Allen
751 S Bascom Ave Pediatrics Department, San Jose CA 95128-2604 -
Chun, James J
34800 Bob Wilson Dr Nmcsd, Attn: Medical Staff Services, San Diego CA 92134-1098 -
Auerswald, Colette L.
400 Parnassus Ave , San Francisco CA 94143-2202 -
Amatya, Sudha
5454 El Cajon Blvd , San Diego CA 92115-3621 -
Coullahan, James Donald
34800 Bob Wilson Dr Nmcsd,Attn:Medical Staff Services, San Diego CA 92134-1098