Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JODY LYNN ULLOM, MD
ActiveJODY LYNN ULLOM, MD is a Pediatrics healthcare provider located in SAN RAFAEL, California. NPI 1417916990 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1417916990
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2006 (20.373335343148 yrs)
- Last Updated
- May 18, 2016
- License
-
G77729 (CA)
Practice Information
- Address
-
1004 NORTHGATE DRSAN RAFAEL, CA, 949032502Browse CA providers · Browse ZIP 94903
- Phone
- 4155906150
- Fax
- 4155783118
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in SAN RAFAEL, CA
| Name | Credential | NPI |
|---|---|---|
| SHELLEY A PALFY | MD | 1043282429 |
| DR. MICHAEL YAMAGUCHI | M.D. | 1437183043 |
| ANN TROY | M.D. | 1174636039 |
| ALBERT CHESTER GOLDBERG | MD | 1518070952 |
| OTTO A. VON FRANQUE | MD | 1629152616 |
| GRACE C. KWOK | MD | 1780768853 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.