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Organization
QUALITAS MOBILE MEDICAL, PC
Active
Organization
QUALITAS MOBILE MEDICAL, PC
Active
Other names
Qualitas Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SCOTT WILLMANN MHSA (PRESIDENT & CEO)
(858) 829-1921
Entity
Organization
Contact information
Practice address
8787 COMPLEX DR, 130, SAN DIEGO, CA 92123-1419
(619) 882-3100
(858) 278-9818
Mailing address
7660 FAY AVE, #329, LA JOLLA, CA 92037-0021
(858) 829-1921
(619) 269-4362
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
—
NULL
363LC0200X
Critical Care Medicine Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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