MEDICARE: MAXIM HEALTHCARE SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1912648122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAXIM HEALTHCARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	7227 LEE DEFOREST DR
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21046-3236
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3255 WILSHIRE BLVD STE 700
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-1411
Country	:	US
Telephone Number	:	323-370-6470
Fax Number	:

Authorized Official
Title or Position	:	CONTROLLER
Name	:	DAVID KOWALCZYK
Credential	:
Telephone Number	:	410-910-1500

Provider Enumeration Date	:	04/05/2022
Last Update Date	:	04/04/2023

Similar Medicare Providers

1316970064 — MAXIM HEALTHCARE SERVICES, INC.
Practice Location Address:

3255 WILSHIRE BLVD STE 700
LOS ANGELES, CA
90010-1411

Practice Phone: 323-296-3477
Practice Fax:

1215121975 — MAXIM HEALTHCARE SERVICES, INC.
Practice Location Address:

3255 WILSHIRE BLVD STE 700
LOS ANGELES, CA
90010-1411

Practice Phone: 213-296-3499
Practice Fax:

1922043587 — CESAR A VELEZ MD
Practice Location Address:

1411 W SUNSET BLVD , SUITE 203
LOS ANGELES, CA
90026-3431

Practice Phone: 213-482-8313
Practice Fax: 213-481-7383

1164454385 — EDGARDO M CAPITULO MD
Practice Location Address:

1411 W SUNSET BLVD , SUITE 203
LOS ANGELES, CA
90026-3431

Practice Phone: 818-882-7656
Practice Fax: 818-773-9517

1952406399 — MAJOR MEDICAL CENTER INC
Practice Location Address:

1411 W 54TH ST
LOS ANGELES, CA
90062-2806

Practice Phone: 323-752-5400
Practice Fax:

1780736553 — EDGARDO M CAPITULO MD INC
Practice Location Address:

1411 W SUNSET BLVD , SUITE 203
LOS ANGELES, CA
90026-3431

Practice Phone: 213-482-8313
Practice Fax: 213-481-7383

Directions to “MAXIM HEALTHCARE SERVICES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.