What is Perry Maddox's NPI number?

The NPI number assigned to this healthcare provider is 1679377691, enumerated as a individual on April 1, 2025.

Where is the provider located?

The provider is located at 1720 E 120TH ST LOS ANGELES, CA 90059 and the phone number is (213) 598-0980.

What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

MR. PERRY LEWIS MADDOX SR. CHW - NPI 1679377691 - Peer Specialist in Los Angeles, CA

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About Mr. Perry Lewis Maddox Sr. Chw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PERRY LEWIS MADDOX SR. CHW (NPI 1679377691) is an individual peer specialist in Los Angeles, California and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1679377691

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameMR. PERRY LEWIS MADDOX SR.Credential: CHW

Location Address1720 E 120TH STLos Angeles, CA 90059-3052

Mailing Address1720 E 120th StLos Angeles, CA 90059-3052 · (213) 684-3225

Phone(213) 598-0980

Sole ProprietorYes

Enumeration DateApril 1, 2025

Last NPPES UpdateJuly 1, 2026

NPPES CertifiedJuly 1, 2026

✔ NPI 1679377691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

1720 E 120TH ST, Los Angeles, CA 90059

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