IndividualActive
Fernando Ulloa, M.D.
NPI 1124140686 · Pediatric Adolescent Medicine Physician · San Rafael, CA
Provider details
- NPI number
- 1124140686
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- G49903 (CA)
Mailing address
Po Box 1938
Mill Valley, CA 94942-1938
Registry dates
- Enumerated
- 2007-04-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.