Active NPI
Youngyoun Lee, OT
- Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1265166581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT23719
- Practice address
- 505 S Virgil Ave Ste 204a
Los Angeles, CA 90020-1443 - Phone
- (213) 674-7699
- NPI assigned
- Jul 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT23719 | CA | Primary |
Addresses
Primary practice location
505 S Virgil Ave Ste 204a
Los Angeles, CA 90020-1443
Mailing address
505 S Virgil Ave Ste 204a
Los Angeles, CA 90020-1443
Phone (213) 674-7699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23719 | CA | MD | General Practice Dentistry |
| OT23719 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CJ Physiotherapy Inc | Occupational Therapist | Current | Accepting new patients |
Locations
505 S Virgil Ave
Ste 204A
Los Angeles, CA 90020
Phone (213) 674-7699
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1265166581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 S VIRGIL AVE STE 204A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201443",
"telephone_number": "213-674-7699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S VIRGIL AVE STE 204A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201443",
"telephone_number": "213-674-7699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "YOUNGYOUN",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-12",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT23719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.