Individual
LOUIE SHON ULLOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3316 W BEVERLY BLVD, MONTEBELLO, CA 90640-1537
(323) 722-4529
(323) 722-4450
Mailing address
3316 W BEVERLY BLVD, MONTEBELLO, CA 90640-1537
(323) 722-4529
(323) 722-4450
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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