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

Bedside Gtube Replacement and Management

Organization Skilled Nursing Facility · NPI 1780179770

Bedside Gtube Replacement and Management is a Skilled Nursing Facility in Los Angeles, California. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

11429 Berendo Ave
Los Angeles, CA 90044-1202
Phone: (323) 200-4524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Skilled Nursing Facility Taxonomy 314000000X

Record details

NPI number1780179770
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Sangmoah — Ceo/President · (323) 200-4524
NPI enumeratedJune 22, 2018
Last updated in NPPESDecember 17, 2022
Certification dateDecember 17, 2022
Mailing address11429 Berendo Ave, Los Angeles, CA 90044-1202

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