Brendan Qualls Valid NPI

Individual provider · Optometrist · Rancho Cucamonga, CA

NPI

1316729569

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

36187 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2023-10-20

Last updated

2026-07-01