Healthcare Provider Details

I. General information

NPI: 1932021383
Provider Name (Legal Business Name): MARINA GUADALUPE ROSALES ARIAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 E J ST
CHULA VISTA CA
91910-6115
US

IV. Provider business mailing address

2383 RIDGE VIEW DR
SAN DIEGO CA
92105-5243
US

V. Phone/Fax

Practice location:
  • Phone: 619-425-9600
  • Fax:
Mailing address:
  • Phone: 619-723-8081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: