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

John David Mallory

Individual provider Community Health Worker · NPI 1366201683

John David Mallory is a Community Health Worker in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

3745 Overland Ave
Los Angeles, CA 90034-6311
Phone: (310) 394-6889
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (CA)

Record details

NPI number1366201683
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 18, 2024
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024

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