Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY MAXWELL
Active Sole ProprietorLARRY MAXWELL is a Substance Abuse Rehabilitation Facility healthcare provider located in LOS ANGELES, California. NPI 1336687821 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · LOS ANGELES, CA
Registration Details
- NPI Number
- 1336687821
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 6, 2017 (9.5196095912424 yrs)
- Last Updated
- Feb 6, 2017
- License
-
R1236821116 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4445 BURNS AVELOS ANGELES, CA, 900292702Browse CA providers · Browse ZIP 90029
- Phone
- 3236648940
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Other Substance Abuse Rehabilitation Facility Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| BRITTON DERBY | MFTI | 1730545807 |
| MARCIA REDDY | — | 1568824282 |
| NANCY LANDIS HOCHBERGER | MFT | 1215388780 |
| CONGA SMITH | — | 1487108916 |
| BYRON VELA GONZALES | — | 1417494576 |
| CAREY E. CAMPBELL | CADC-CAS #C7291214 | 1811435431 |
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.