MEDICARE: ROSA MISER

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
1	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1861356289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSA MISER

Provider Business Mailing Address
First Line	:	24172 ROTHBURY DR
Second Line	:
City	:	MORENO VALLEY
State	:	CA
Zip	:	92553-3318
Country	:	US
Telephone Number	:	619-228-4104
Fax Number	:

Provider Business Practice Location Address
First Line	:	4282 BALBOA AVE APT 214
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-5546
Country	:	US
Telephone Number	:	858-552-8585
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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Directions to “ ROSA MISER ” Practice Location

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