Provider Demographics
NPI:1194121681
Name:RESOLUTIONCARE, PC
Entity type:Organization
Organization Name:RESOLUTIONCARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:JASSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:707-442-5683
Mailing Address - Street 1:1875 S GRANT ST STE 760
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-2670
Mailing Address - Country:US
Mailing Address - Phone:707-442-5683
Mailing Address - Fax:833-593-2739
Practice Address - Street 1:1875 S GRANT ST STE 760
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-2670
Practice Address - Country:US
Practice Address - Phone:707-442-5683
Practice Address - Fax:833-593-2739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-10
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG83364174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty