Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Caron Jack

Individual provider Community Health Worker · NPI 1598591596

Caron Jack is a Community Health Worker in Los Angeles, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

5715 S Broadway
Los Angeles, CA 90037-4131
Phone: (323) 948-0444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1598591596
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 9, 2024
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024

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