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Contact Information

KIMBERLY MIZERA
9692 OCOTILLO WAY
APPLE VALLEY, CA92308-9714
 Phone: 844-382-1040
 Fax: 833-879-4451
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Phlebotomy

246RP1900X
 

Adult Companion

372600000X
 

Homemaker

376J00000X
Indicates primary specialty

NPI Profile & details for KIMBERLY MIZERA · (Female)

NPI # 1184588105
Status Active
Credentials
Entity Individual
Enumeration date 12/13/2025
Last updated 12/17/2025 - About 6 months ago
Sole proprietor 1 Yes
Identifiers
  • License # CPT-02042926
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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