Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Gollaz

Individual provider Physical Therapy Assistant · NPI 1558252502

Jason Gollaz is a Physical Therapy Assistant in Corona, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

4019 Brotherton St
Corona, CA 92879-1814
Phone: (951) 850-7017
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 52372 (CA)

Record details

NPI number1558252502
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 9, 2025
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025
Mailing address4019 Brotherton St, Corona, CA 92879-1814

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