MR. MAX G SMALLS JR.


Address: 1825 E. Thelborn Street, West Covina, CA 91791
Phone: 6269153844

MR. MAX G SMALLS JR. (NPI# 1245381979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245381979
Entity Type Individual
Full Name MR. MAX G SMALLS JR.
Practice Address 1825 E. Thelborn Street
West Covina
CA 91791
Practice Telephone 6269153844
Practice Fax Number 6269153845
Mailing Telephone 6269153844
Mailing Fax Number 6269153845
Enumeration Date 2007-01-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 1825 E. THELBORN STREET
City WEST COVINA
State CA
Zip Code 91791

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366938896 Oriental Holistic Acupuncture Healthe Center Inc Acupuncturist 1414 S. Azusa Ave., Ste B-5, West Covina, CA 91791 2018-07-09
1780110312 Yenmien Chen Pharmacist 5944 N Figueroa Ave, Los Angeles, CA 91791 2017-05-02
1568861227 Gashparova Dental Practice Inc. Dentist 628 N. Azusa Ave., West Covina, CA 91791 2014-08-19
1740607837 Melinda Rodriguez-mendoza Nurse Practitioner 1444 E Mcwood St, West Covina, CA 91791 2014-03-26
1710245782 Mark Chevy S Ledesma Dentist 319 N Azusa Ave., W Covina, CA 91791 2012-04-27
1508184920 Elba Cecilia Olivares Chiropractor 743 S. Hillward Ave, West Covina, CA 91791 2010-05-10
1861668832 Susette C Thompson Case Manager/Care Coordinator 1829 Eworkman Ave #1, West Covina, CA 91791 2008-04-30
1376729483 Accentcare Home Health of California, Inc. Home Health 2934 E Garvey Ave S Ste 210, West Covina, CA 91791 2008-01-18
1629195870 Jung Jung Liu Dentist 628 North Azusa Ave, West Covina, CA 91791 2007-03-23
1548302748 Mark Chevy S Ledesma Dds Inc Dentist 319 N Azusa Ave, W Covina, CA 91791 2007-02-13
Find all providers in zip 91791

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568920858 Jessica Edweena Barnes Counselor 2551 E Larkwood St, West Covina, CA 91791-2833 2019-03-06
1174009526 Michael Aviado Counselor 3040 E Cecelia St, West Covina, CA 91792-2005 2018-07-18
1134630445 Paula Rice-sherman Counselor 1654 Aspen Village Way, West Covina, CA 91791-3102 2017-10-14
1497298509 Janelle Breane Flores Counselor 1366 Brooktree Cir, West Covina, CA 91792-1474 2016-11-21
1245696061 Mellissa Jakel Counselor 2418 Nina St Apt 3, West Covina, CA 91792-1766 2016-01-08
1346638574 Vanessa Romero Counselor 277 S Sentous Ave, West Covina, CA 91792-2800 2014-12-22
1609203280 Carol Baker Counselor 1841 E Workman Ave Apt 44, West Covina, CA 91791-1428 2013-09-27
1194010934 Rick Linton Counselor 1004 W West Covina Pkwy # 170, West Covina, CA 91790-2810 2011-06-09
1225255268 Fabian Gonzales Counselor 540 South Eremland Dr., Suite #a, West Covina, CA 91723 2007-04-19
1639637226 Jaela Raniece Weaver Counselor 1825 E Thelborn St, West Covina, CA 91791-1442 2019-03-04
Find all providers in WEST COVINA

Competitor

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City WEST COVINA
Zip Code 91791

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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