Healthcare Provider Details

I. General information

NPI: 1396609491
Provider Name (Legal Business Name): SYNDI NATALI ROSALES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13210 FLORENCE AVE
SANTA FE SPRINGS CA
90670-4510
US

IV. Provider business mailing address

10164 BODGER ST
EL MONTE CA
91733-1308
US

V. Phone/Fax

Practice location:
  • Phone: 562-784-2943
  • Fax:
Mailing address:
  • Phone: 310-350-5943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberWFAINP
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: