FERNANDO ULLOA

SAN RAFAEL, CA
NPI1124140686
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2080A0000X Pediatrics, Adolescent Medicine
(Licence: CA  G49903)
Enumeration Date2007-04-04
Last Update Date2007-07-08
Business Address
Dr. FERNANDO ULLOA M.D.
711 D ST SUITE 113
SAN RAFAEL, CA 94901-3707
Phone number: 415-454-4100
Mailing Address
Dr. FERNANDO ULLOA M.D.
PO BOX 1938
MILL VALLEY, CA 94942-1938
Phone number: 415-454-4100