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

Mission Lodge Sanitarium LLC

Organization Assisted Living Facility · NPI 1184924953

Mission Lodge Sanitarium LLC is an Assisted Living Facility in San Gabriel, California. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

824 S Gladys Ave
San Gabriel, CA 91776-2710
Phone: (626) 287-0753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X
Assisted Living Facility Taxonomy 310400000X

Record details

NPI number1184924953
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Reynolds — Manager · (410) 513-8738
NPI enumeratedOctober 27, 2010
Last updated in NPPESJune 10, 2015
Mailing address1423 Clarkview Rd, Baltimore, MD 21209-2134

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