DR. Fernando Ulloa, M.D. is an adolescent medicine pediatrics in San Rafael, CA. The provider is a pediatrician who 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. DR. Fernando Ulloa, M.D. NPI is 1124140686. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
711 D ST
SUITE 113
SAN RAFAEL, CA
ZIP 94901-707
Phone: (415) 454-4100
The NPI 1124140686 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/4/2007 and was last updated on 7/8/2007.