# MAXLIFE MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maxlife Urgent Care Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487347183
- **Authorized official:** SAM JEFFERY (MANAGER)
- **Authorized official phone:** (562) 800-0603

## Contact information

- **Practice address:** 11161 WASHINGTON BLVD, WHITTIER, CA 90606-3007
- **Practice address phone:** (562) 800-0603
- **Practice address fax:** (562) 800-0605
- **Mailing address:** 11161 WASHINGTON BLVD, WHITTIER, CA 90606-3007
- **Mailing address phone:** (562) 800-0603
- **Mailing address fax:** (562) 800-0605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/30/2023
- **Last updated:** 09/27/2023