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Dr. Fernando Ulloa, MD
Pediatric Adolescent Medicine Physician in San Rafael, California
NPI 1124140686

Fernando Ulloa is a Pediatric Adolescent Medicine Physician based in Mill Valley, CA and is specialized in Adolescent Medicine. Fernando Ulloa practices in San Rafael, CA and has the professional credentials of MD. The NPI Number for Fernando Ulloa is 1124140686 and holds a License No. G49903 (California).

The current practice location address for Fernando Ulloa is 711 D St, San Rafael, CA and can be reached out via phone at 415-454-4100.

Location: 711 D St, San Rafael, CA, 94942-1938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124140686
Provider Name
Fernando Ulloa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
711 D St, San Rafael, CA, 94942-1938
Phone Number
415-454-4100
Fax Number
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G49903 05 CA
institution
Provider Business Practice Location Address Details
Address
711 D St
City
San Rafael
State
California
Zip
94901-3707
Phone Number
415-454-4100
Fax Number
person
Provider Business Mailing Address Details
Address
711 D St
City
San Rafael
State
California
Zip
94901-3707
Phone Number
415-454-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
G49903 (California)
Definition
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.
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