Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Brandon Lee Rose, BSDEGREE

Individual provider Assisted Living Facility · NPI 1942606108

Mr. Brandon Lee Rose, BSDEGREE is an Assisted Living Facility in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

9207 Mammath Peak Cir
Stockton, CA 95212-3212
Phone: (209) 623-7456
Fax: (209) 594-1872
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 397002695 (CA)

Record details

NPI number1942606108
Entity typeIndividual (Type 1)
GenderMale
Credentials BSDEGREE
Sole proprietorYes
NPI enumeratedNovember 14, 2014
Last updated in NPPESNovember 14, 2014

Other providers in Stockton