Individual ProviderErlinda UlloaPediatricsAllopathic & Osteopathic PhysiciansPractice Address3020 Childrens Way # Mc5075, San Diego, CA 92123-4223(858) 966-8036(267) 319-5804PECOS EnrollmentBased on the most recent information from CMS, provider Erlinda Ulloa is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 2:29 PM.Profile DetailsProvider ID1114269248Provider TypeIndividualFull NameUlloa, ErlindaCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date3/27/2013Last Updated3/17/2018Contact InformationPractice LocationPractice Address3020 Childrens Way # Mc5075, San Diego, CA 92123-4223Phone(858) 966-8036FaxUnlisted FaxMailing LocationMailing Address3401 Civic Center Blvd, Division Of Pediatric Infectious Diseases, Philadelphia, PA 19104-4319Phone(267) 319-5804FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseA147343CaliforniaCode2080P0208XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseMT210528Pennsylvania