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NPI Code Detail

MEDICARE: MR. DANNY WILLIAM THOMPSON

MEDICARE:  MR. DANNY WILLIAM THOMPSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation SpecialistCA
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1487395810
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANNY WILLIAM THOMPSON
Provider Business Mailing Address
First Line : PO BOX 1144
Second Line :
City : SAN ANDREAS
State : CA
Zip : 95249-1144
Country : US
Telephone Number : 209-754-1249
Fax Number :
Provider Business Practice Location Address
First Line : 3585 HAWVER ROAD
Second Line :
City : SAN ANDREAS
State : CA
Zip : 95249
Country : US
Telephone Number : 209-754-1249
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2022
Last Update Date : 12/16/2025

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Directions to “ MR. DANNY WILLIAM THOMPSON ” Practice Location

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