Individual
DR. GRACE A ROSALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11301 WILSHIRE BLVD, #116AR, LOS ANGELES, CA 90073-1003
(310) 261-3426
Mailing address
2308 SCHADER DR, 107, SANTA MONICA, CA 90404-2946
(310) 948-7599
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY21490
CA
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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