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

Gustavo Hernandez Jr.

Individual provider Community Health Worker · NPI 1285423616

Gustavo Hernandez Jr. is a Community Health Worker in Los Angeles, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

655 Maple Ave
Los Angeles, CA 90014-2211
Phone: (323) 854-3648
Fax: (323) 854-3648
Show map & directions

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

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X (CA)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1285423616
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 2, 2025
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025

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