Ivan Avila Ulloa, MA is a
Speech-language Pathologist based in Firebaugh, California. Ivan Avila Ulloa is licensed to practice in California (license number RPE-21255) and his current practice location is
1691 Q St, Firebaugh, California. He can be reached at his office (for appointments etc.) via phone at
(559) 659-1421.
NPI number for Ivan Avila Ulloa is 1669397220 and his current mailing address is 5005 N Roosevelt Ave Apt D, Fresno, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669397220.
Healthcare Provider's Profile
| Full Name | Ivan Avila Ulloa |
|---|
| Gender | Male |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 1691 Q St, Firebaugh, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669397220
- Provider Enumeration Date: 08/12/2026
- Last Update Date: 08/12/2026
Medical Identifiers
Medical identifiers for Ivan Avila Ulloa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669397220 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | RPE-21255 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivan Avila Ulloa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ivan Avila Ulloa, MA 5005 N Roosevelt Ave Apt D, Fresno, CA 93704-2403 Ph: (559) 659-1421 | Ivan Avila Ulloa, MA 1691 Q St, Firebaugh, CA 93622-2428 Ph: (559) 659-1421 |
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