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NPI Code Detail

MEDICARE: ANN ULLRICH MD

MEDICARE: ANN ULLRICH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207PE0004XEmergency Medical Services (Emergency Medicine) PhysicianA062458CA

General Provider Information

NPI Number : 1891741609
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN ULLRICH MD
Provider Business Mailing Address
First Line : 32 JAPONICA
Second Line :
City : IRVINE
State : CA
Zip : 92618-3987
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16200 SAND CANYON AVE
Second Line :
City : IRVINE
State : CA
Zip : 92618-3714
Country : US
Telephone Number : 949-753-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 11/29/2021

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