Healthcare Provider Details

I. General information

NPI: 1861873796
Provider Name (Legal Business Name): JODON ENGLISH LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MR. JODY ALLAN HUTCHINS

II. Dates (important events)

Enumeration Date: 06/16/2015
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1436 GOODRICH BLVD
COMMERCE CA
90022-5111
US

IV. Provider business mailing address

520 S LOS ROBLES AVE APT 3
PASADENA CA
91101-3806
US

V. Phone/Fax

Practice location:
  • Phone: 323-725-1337
  • Fax:
Mailing address:
  • Phone: 213-925-8170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number82045
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: