Individual provider · Type 1 NPI

Marco Antonio Ayulo Jr., MD

Pediatric Critical Care Medicine Physician · Fountain Valley, CA

NPI number 1942592159 Active

Practice location

17100 Euclid St
Fountain Valley, CA 92708-4004

Call (714) 966-7253 Map

Mailing address

305 2nd St
Hermosa Beach, CA 90254-4662

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XA116669 (CA)
Pediatric Critical Care Medicine Physician Primary 2080P0203XA116669 (CA)

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1942592159

Marco Antonio Ayulo Jr., MD's National Provider Identifier is 1942592159, issued on May 5, 2011. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Fountain Valley, CA. The record was last updated on Jun 18, 2013.