Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Larry Maxwell

Individual provider Substance Abuse Rehabilitation Facility · NPI 1336687821

Larry Maxwell is a Substance Abuse Rehabilitation Facility in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

4445 Burns Ave
Los Angeles, CA 90029-2702
Phone: (323) 664-8940
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence R1236821116 (CA)

Record details

NPI number1336687821
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 6, 2017
Last updated in NPPESFebruary 6, 2017

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