Angela Benadom, LPN
Licensed Vocational Nurse in Ridgecrest, CA. Individual provider (NPI-1).
NPI number1760338859
StatusActive
Last updated in NPPESMay 27, 2026
Details
- NPI
- 1760338859
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Angela Benadom
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2026
- Certification date
- May 27, 2026
- Last updated
- May 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 244250 | CA | Yes |
Practice location
1111 W Inyokern Rd Ste BRidgecrest, CA 93555-2370
Phone 760-301-6945
Mailing address
1111 W Inyokern RdRidgecrest, CA 93555-2370
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