| Maxim Healthcare Services, Inc | |
|
1000 S Fremont Ave Ste C10110 Alhambra CA 91803-8800 | |
| (626) 759-9154 | |
| Not Available |
| Full Name | Maxim Healthcare Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1000 S Fremont Ave Ste C10110, Alhambra, California |
| Authorized Official Name and Position | David Kowalczyk (CONTROLLER) |
| Authorized Official Contact | 4109101500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxim Healthcare Services, Inc 7227 Lee Deforest Dr Columbia MD 21046-3236 Ph: (104) 910-1500 | Maxim Healthcare Services, Inc 1000 S Fremont Ave Ste C10110 Alhambra CA 91803-8800 Ph: (626) 759-9154 |
| NPI Number | 1770148272 |
|---|---|
| Provider Enumeration Date | 05/09/2019 |
| Last Update Date | 02/02/2022 |
| Certification Date | 02/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770148272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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