Healthcare Provider Details

I. General information

NPI: 1457026858
Provider Name (Legal Business Name): KERSTIN HUTCHINGS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2021
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 DOVE ST STE 270
NEWPORT BEACH CA
92660-2851
US

IV. Provider business mailing address

214 MAIN ST # 494
EL SEGUNDO CA
90245-3803
US

V. Phone/Fax

Practice location:
  • Phone: 949-478-2583
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number141795
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: