NPI
Mission Lodge Sanitarium LLC
NPI 1184924953
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2010-10-27
- Last updated
- 2015-06-10
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 824 S Gladys Ave
- City
- San Gabriel CA
- Postal code
- 91776-2710
- Phone
- (626) 287-0753
Organization contact
- Name
- Brian Reynolds
- Title
- Manager
- Phone
- (410) 513-8738
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in San Gabriel, CA. 1,170 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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