# EXTRA MILE HOSPICE CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699648147
- **Authorized official:** MARIA TERESA MISA (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (714) 515-0459

## Contact information

- **Practice address:** 1661 N RAYMOND AVE STE 260, ANAHEIM, CA 92801-1158
- **Practice address phone:** (714) 932-8931
- **Practice address fax:** (714) 670-7301
- **Mailing address:** 1661 N RAYMOND AVE STE 260, ANAHEIM, CA 92801-1158
- **Mailing address phone:** (714) 932-8931
- **Mailing address fax:** (714) 670-7301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081H0002X | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081H0002X | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2025
- **Last updated:** 09/29/2025