Individual
LUIS ALEJANDRO ULLOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2122 S EL CAMINO REAL STE 102, OCEANSIDE, CA 92054-6209
(760) 290-8170
Mailing address
2122 S EL CAMINO REAL STE 102, OCEANSIDE, CA 92054-6209
(760) 290-8170
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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