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

Mr. Perry Lewis Maddox Sr., CHW

Individual provider Peer Specialist · NPI 1679377691

Mr. Perry Lewis Maddox Sr., CHW is a Peer Specialist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

1720 E 120th St
Los Angeles, CA 90059-3052
Phone: (213) 598-0980
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (CA)

Record details

NPI number1679377691
Entity typeIndividual (Type 1)
GenderMale
Credentials CHW
Sole proprietorYes
NPI enumeratedApril 1, 2025
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

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