SearchOhio1223G0001X

Ulises Carballosa Fernandez

NPI 1558051367 · on the registry since 2023 · sole proprietor

Practice

Address
2203 Lake Ave
Ashtabula, OH 44004
Phone
(440) 381-8800

Additional practice sites

  • 4071 Lee Rd Ste 260, Cleveland, OH

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
390200000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio