Healthcare Provider Details

I. General information

NPI: 1578411021
Provider Name (Legal Business Name): ROSAMUNDA MARIA AYALA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 3RD ST
SAN FRANCISCO CA
94124-1409
US

IV. Provider business mailing address

3801 3RD ST
SAN FRANCISCO CA
94124-1409
US

V. Phone/Fax

Practice location:
  • Phone: 415-850-6437
  • Fax:
Mailing address:
  • Phone: 415-963-2109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: