Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DYANA INTHAVONG
DeactivatedDYANA INTHAVONG is a Licensed Vocational Nurse healthcare provider located in CERES, California. NPI 1497277925 is deactivated in the NPPES registry. Verify at CMS.
Licensed Vocational Nurse · CERES, CA
This NPI has been deactivated.
The record was deactivated on November 22, 2017.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1497277925
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 17, 2017 (0.35068493150685 yrs)
- Last Updated
- Jan 11, 2021
- Deactivated
- Nov 22, 2017
- License
-
265486 (CA)
Practice Information
- Address
-
1768 MITCHELL RD STE 301CERES, CA, 953072156Browse CA providers · Browse ZIP 95307
- Phone
- 2093534838
- Primary Specialty
-
Licensed Vocational Nurse
164X00000X
Other Licensed Vocational Nurse Providers in CERES, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. JACQUELINE LEE CASE | LVN | 1760568059 |
| SAMANTHA ANN BRUNO | LVN | 1295856029 |
| TRACY LYNN SHIPMAN | — | 1780707620 |
| MR. MICHAEL DONALD LUCCKETTA | LVN | 1851611644 |
| MARCI K COUCH | LVN | 1841614468 |
| MRS. TAMMY MAE LYNN CANNON | — | 1437574068 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.