Organization
HEALTH MANAGEMENT SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAYNE THOMPSON (BUSINESS ADMINISTRATOR)
(888) 417-5163
Entity
Organization
Contact information
Practice address
2892 N BELLFLOWER BLVD, STE 281, LONG BEACH, CA 90815-1125
(888) 417-5163
Mailing address
2892 N BELLFLOWER BLVD, STE 281, LONG BEACH, CA 90815-1125
(888) 417-5163
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CMM71069F
CA
261QD0000X
Dental Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Enumeration date
08/22/2012
Last updated
08/22/2012
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