Maxwell, Larry

Maxwell, Larry is an sole proprietor health care provider with primary practice located at 4445 Burns Ave , Los Angeles CA 90029-2702. He recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as his primary health care specialty. Maxwell, Larry can be contacted via phone (323) 664-8940.

Contact Information

Primary practice address
4445 Burns Ave Los Angeles CA 90029-2702
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X R1236821116 California

Profile Details

NPI number 1336687821
LBN Legal business name Maxwell, Larry
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2017
Last updated Feb 6th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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