Provider Demographics
NPI:1245557743
Name:ULANDAY, CHRIS MARK DONATO
Entity Type:Individual
Prefix:MR
First Name:CHRIS MARK
Middle Name:DONATO
Last Name:ULANDAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2265 GOLDEN DEW CIR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95121-1441
Mailing Address - Country:US
Mailing Address - Phone:408-608-5959
Mailing Address - Fax:
Practice Address - Street 1:333 GELLERT BLVD STE 150
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2690
Practice Address - Country:US
Practice Address - Phone:866-758-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10993225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist