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NPI Code Detail

MEDICARE: SOPHIA ROSE AYALA

MEDICARE: SOPHIA ROSE AYALA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianY6395115CA

General Provider Information

NPI Number : 1134070873
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA ROSE AYALA
Provider Business Mailing Address
First Line : 1377 7TH ST
Second Line :
City : RODEO
State : CA
Zip : 94572-1612
Country : US
Telephone Number : 510-829-5041
Fax Number :
Provider Business Practice Location Address
First Line : 11501 DUBLIN BLVD STE 200
Second Line :
City : DUBLIN
State : CA
Zip : 94568-2827
Country : US
Telephone Number : 925-339-4599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ SOPHIA ROSE AYALA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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