Mr Dwight Boochie, - Licensed Practical Nurse in Lynwood, CA

Mr Dwight Boochie, is a Licensed Practical Nurse based in Lynwood, California. Mr Dwight Boochie is licensed to practice in California (license number VN 161753) and his current practice location is 2640 Industry Way, Lynwood, California. He can be reached at his office (for appointments etc.) via phone at (310) 639-5983.

NPI number for Mr Dwight Boochie is 1649304213 and his current mailing address is 2640 Industry Way, Lynwood, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649304213.

Contact Information

Mr Dwight Boochie,
2640 Industry Way,
Lynwood, CA 90262-4000
(310) 639-5983
(310) 639-5870



Provider's Profile

Full NameMr Dwight Boochie
GenderMale
SpecialityLicensed Practical Nurse
Location2640 Industry Way, Lynwood, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649304213
  • Provider Enumeration Date: 03/15/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Dwight Boochie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649304213NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse VN 161753 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Dwight Boochie is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Dwight Boochie,
2640 Industry Way,
Lynwood, CA 90262-4000

Ph: (310) 639-5983
Mr Dwight Boochie,
2640 Industry Way,
Lynwood, CA 90262-4000

Ph: (310) 639-5983

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› Verified 2 days ago


Licensed Practical Nurse Nurses in Lynwood, CA

Diana Ubaldo, LVN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262
Phone: 310-632-0415    

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