Search › California › 363LF0000X
Jason Quallich, ARNP
NPI 1427349380 · on the registry since 2011
Practice
- Address
- 3841 Brickway Blvd
Santa Rosa, CA 95403 - Phone
- (727) 515-9490
- Organisation at this address
- San Francisco Vamc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 41
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- FL, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-01
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 California