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NPI Code Detail

MEDICARE: ROSEMARY SU MA

MEDICARE: ROSEMARY SU MA
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 TechnicianBACB1037903CA

General Provider Information

NPI Number : 1497687479
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSEMARY SU MA
Provider Business Mailing Address
First Line : 4900 HOPYARD RD STE 100
Second Line :
City : PLEASANTON
State : CA
Zip : 94588-7101
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4900 HOPYARD RD STE 100
Second Line :
City : PLEASANTON
State : CA
Zip : 94588-7101
Country : US
Telephone Number : 424-522-8391
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ ROSEMARY SU MA” Practice Location

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