Individual
JACOB ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD
Contact information
Practice address
2650 E FOOTHILL BLVD, PASADENA, CA 91107-3439
(909) 634-2950
Mailing address
5023 ELLENWOOD DR, LOS ANGELES, CA 90041-1808
(951) 733-7687
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
171M00000X
Case Manager/Care Coordinator
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
03/25/2026
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