MEDICARE: DWAYNE THOMPSON LVN, CNA.

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	101Y00000X	Counselor
2	390200000X	Student in an Organized Health Care Education/Training Program		CA
3	164X00000X	Licensed Vocational Nurse	691103	CA

General Provider Information

NPI Number	:	1679813778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DWAYNE THOMPSON LVN, CNA.

Provider Business Mailing Address
First Line	:	P.O. BOX 8321
Second Line	:
City	:	CHULA VISTA
State	:	CA
Zip	:	91912-8321
Country	:	US
Telephone Number	:	714-278-7622
Fax Number	:	888-316-1604

Provider Business Practice Location Address
First Line	:	2892 N BELLFLOWER BLVD
Second Line	:	SUITE 281
City	:	LONG BEACH
State	:	CA
Zip	:	90815-1125
Country	:	US
Telephone Number	:	714-614-5387
Fax Number	:	888-316-1604

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2013
Last Update Date	:	05/16/2017

Similar Medicare Providers

1659647469 — DENTAL SERVICES, D.D.S.
Practice Location Address:

2892 N BELLFLOWER BLVD , SUITE 281
LONG BEACH, CA
90815-1125

Practice Phone: 888-417-5163
Practice Fax:

1053687863 — PSYCHATRIC SERVICES, MD
Practice Location Address:

2892 N BELLFLOWER BLVD , SUITE 281
LONG BEACH, CA
90815-1125

Practice Phone: 562-774-1343
Practice Fax:

1366790347 — HEALTH MANAGEMENT SYSTEMS
Practice Location Address:

2892 N BELLFLOWER BLVD , STE 281
LONG BEACH, CA
90815-1125

Practice Phone: 888-417-5163
Practice Fax:

1568801835 — WILLIAM ERB DPT
Practice Location Address:

2820 N BELLFLOWER BLVD
LONG BEACH, CA
90815-1125

Practice Phone: 562-384-4525
Practice Fax: 562-384-4524

1356749535 — CAMERON MICHAEL RAU DPT
Practice Location Address:

2820 N BELLFLOWER BLVD
LONG BEACH, CA
90815-1125

Practice Phone: 562-384-4525
Practice Fax: 562-384-4524

1417345539 — JAMES ALDRICH MENDOZA D.P.T.
Practice Location Address:

2820 N BELLFLOWER BLVD
LONG BEACH, CA
90815-1125

Practice Phone: 562-384-4525
Practice Fax:

Directions to “ DWAYNE THOMPSON LVN, CNA.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.