Healthcare Provider Details

I. General information

NPI: 1619723970
Provider Name (Legal Business Name): ROSAMARIA SOSA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2024
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2103 S EL CAMINO REAL STE 202
OCEANSIDE CA
92054-6281
US

IV. Provider business mailing address

2103 S EL CAMINO REAL STE 202
OCEANSIDE CA
92054-6281
US

V. Phone/Fax

Practice location:
  • Phone: 442-500-8548
  • Fax: 760-400-8379
Mailing address:
  • Phone: 442-500-8548
  • Fax: 760-400-8379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number20649
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: