Individual provider · NPI-1

Alicia Rosalia Castaneda

Technician, Other · San Leandro, CA

NPI number1417436403
StatusActive
Last updated in NPPESMay 16, 2025

Details

NPI
1417436403
Entity type
Individual (NPI-1)
Name
Alicia Rosalia Castaneda
Sex
Female
Sole proprietor
No
Enumeration date
Aug 9, 2018
Certification date
May 16, 2025
Last updated
May 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes
174400000X Specialist––

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Phone 510-317-1444

Mailing address

2513 24th St
San Francisco, CA 94110-3556

Phone 415-515-3526

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