JASON ROOS DO A PROFESSIONAL MEDICAL CORPORATION NPI 1366019531

NPI Information

JASON ROOS DO A PROFESSIONAL MEDICAL CORPORATION is an otolaryngology/facial plastic surgery otolaryngology in Visalia, CA. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. JASON ROOS DO A PROFESSIONAL MEDICAL CORPORATION NPI is 1366019531. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Valley Ent.

The provider's business location address is:

805 W ACEQUIA AVE
VISALIA, CA
ZIP 93291-162
Phone: (509) 720-6659

The provider's authorized official is Jason Roos .
The authorized official title is Owner and has the following contact phone number (509) 720-6659.

The CLIA number assigned to this NPI record is 05D2237119 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2021 and was last updated on 8/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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