Healthcare Provider Details

I. General information

NPI: 1437067642
Provider Name (Legal Business Name): KARINA LIZETH ULLOA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 W 9TH AVE
ESCONDIDO CA
92029-2204
US

IV. Provider business mailing address

2700 E VALLEY PKWY SPC 27
ESCONDIDO CA
92027-2949
US

V. Phone/Fax

Practice location:
  • Phone: 760-432-2439
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number260168494
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: