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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
Street Address |
1825 E. THELBORN STREET |
City | WEST COVINA |
State | CA |
Zip Code | 91791 |
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 Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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 |
City | WEST COVINA |
Zip Code | 91791 |
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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.