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NPI Code Detail

MEDICARE: JENNIFER HUCHIM

MEDICARE: JENNIFER HUCHIM
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
11041C0700XClinical Social Worker84288CA
21041C0700XClinical Social Worker108412CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588137095
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER HUCHIM
Provider Business Mailing Address
First Line : P.O. BOX 2048
Second Line :
City : COVINA
State : CA
Zip : 91722
Country : US
Telephone Number : 626-202-7893
Fax Number :
Provider Business Practice Location Address
First Line : 235 E BROADWAY STE 314
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-7801
Country : US
Telephone Number : 888-588-8995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2019
Last Update Date : 03/05/2026

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