Organization
EXTRA MILE HOSPICE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA TERESA MISA (AUTHORIZED OFFICIAL)
(714) 515-0459
Entity
Organization
Contact information
Practice address
1661 N RAYMOND AVE STE 260, ANAHEIM, CA 92801-1158
(714) 932-8931
(714) 670-7301
Mailing address
1661 N RAYMOND AVE STE 260, ANAHEIM, CA 92801-1158
(714) 932-8931
(714) 670-7301
Taxonomy
Speciality
Code
Description
License number
State
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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