Bedside Gtube Replacement and Management
NPI #1780179770 in Los Angeles, California
Provider Information
- NPI Number
- 1780179770
- Entity Type
- Organization
- Organization Name
- Bedside Gtube Replacement and Management
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jun 22, 2018
- Last Updated
- Dec 17, 2022
Practice Location
- Address
- 11429 BERENDO AVE
- City
- Los Angeles
- State
- California
- ZIP Code
- 90044-1202
- Phone
- (323) 200-4524
Authorized Official
- Name
- MR. JOHN SANGMOAH, PA
- Title
- CEO/PRESIDENT
- Phone
- (323) 200-4524
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
| Physician Assistant |
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