Individual
ANA MARIA ROSALES DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3919 MACDONALD AVE, RICHMOND, CA 94805-2229
(510) 233-7555
Mailing address
6333 TELEGRAPH AVE, OAKLAND, CA 94609-1359
(510) 407-4122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
—
174400000X
Specialist
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01776500
STATE MEDI-CAL
CA
Enumeration date
08/26/2019
Last updated
04/16/2025
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