Most Relevant Information
Provider Data
| NPI Number: | 1003239948 |
| Provider Name: | JESSE RAIA QUALLIOTINE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Y00000X |
| Specialty: | Otolaryngology |
| License Number: | A151988 |
Most Important Dates
| Enumeration Date: | 01/29/2014 |
| Last Updated: | 07/14/2023 |
Provider Practice Location
200 W ARBOR DR
SAN DIEGO
CA
921039000
Practice Location Phone/Fax
| Phone: | 8009268273 |
| Fax: | 8885398781 |
Provider Mailing Location
PO BOX 232410
SAN DIEGO
CA
921932410
Provider Mailing Phone/Fax
| Phone: | 1760809154 |
| Fax: |
Suggested EMR
ENT EMR