Individual provider · Type 1 NPI

Perry Lewis Maddox Sr., CHW

Peer Specialist · Los Angeles, CA

NPI number 1679377691 Active

Practice location

1720 E 120th St
Los Angeles, CA 90059-3052

Call (213) 598-0980 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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.

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About NPI 1679377691

Perry Lewis Maddox Sr., CHW's National Provider Identifier is 1679377691, issued on Apr 1, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 1, 2026.