MEDICARE: CHILL VIBRATIONS, LLC

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
1	261Q00000X	Clinic/Center
2	374J00000X	Doula

General Provider Information

NPI Number	:	1649095332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILL VIBRATIONS, LLC

Provider Business Mailing Address
First Line	:	2355 WESTWOOD BLVD UNIT 205
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-2109
Country	:	US
Telephone Number	:	213-342-1084
Fax Number	:

Provider Business Practice Location Address
First Line	:	1635 E ANAHEIM ST STE A
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-7120
Country	:	US
Telephone Number	:	213-342-1084
Fax Number	:

Authorized Official
Title or Position	:	WELLNESS PRACTITIONER / FOUNDER
Name	:	MARIAN MAYA THOMPSON
Credential	:	PSY.M., BHSS, RYT200
Telephone Number	:	213-342-1084

Provider Enumeration Date	:	11/19/2024
Last Update Date	:	12/04/2025

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Directions to “CHILL VIBRATIONS, LLC ” Practice Location

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