GMBT LLC

Primary specialty

Peritoneal Dialysis Registered NurseTaxonomy code 163WD1100X

License

163WD1100X Issued in CA

Legal business name

GMBT LLC

Practice address

21615 Berendo Ave Ste 400
Torrance, CA 90502-1800

Phone

(951) 281-4445

Fax

(951) 371-5062

NPI assigned

Feb 17, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Glenn Ralleca

Title

Coo

Phone

(951) 281-4445

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1528380615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 W 231ST ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907454714",
            "telephone_number": "951-281-4445",
            "fax_number": "951-371-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21615 BERENDO AVE STE 400",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021800",
            "telephone_number": "951-281-4445",
            "fax_number": "951-371-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GMBT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "RALLECA",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "951-281-4445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WD1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": "CA",
            "license": "163WD1100X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Luong, DMD, Ms, PC
• Becky Gloria-Salcedo
• Nathan Gloudemans
• Athena Mine Glover
• Antonia Glowacki Colton, PSYCHOLOGIST
• Mariah Gabriella Go Chua
• Christine Gobran, PHARMD
• God'S Perfect Match LLC
• Laura Korkiss Goddard, LMFT, PH.D.
• Denise Godfrey-Pinn, PHD

• Registered Nurse in Torrance, CA
• Providers in Torrance, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.