Healthcare Provider Details
I. General information
NPI: 1710893896
Provider Name (Legal Business Name): ARIELLA AGUILERA ROSENBERG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2044 FILLMORE ST
SAN FRANCISCO CA
94115-2777
US
IV. Provider business mailing address
23044 AVIS LN
FAIRVIEW CA
94541-4433
US
V. Phone/Fax
- Phone: 415-888-8368
- Fax:
- Phone: 510-589-5628
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | 94799 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: