Active NPI
Judy Su-Le, OTR/L
- Pediatric Occupational Therapist
- Beverly Hills, CA
National Provider Identifier
1306305131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 19647
- Practice address
- 8501 Wilshire Blvd Ste 336
Beverly Hills, CA 90211-3134 - Phone
- (310) 659-9511
- NPI assigned
- Mar 19, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 19647 | CA | Primary |
Addresses
Primary practice location
8501 Wilshire Blvd Ste 336
Beverly Hills, CA 90211-3134
Mailing address
13761 La Pat PL Apt B
Westminster, CA 92683-8814
Phone (714) 725-2374
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19647 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1306305131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13761 LA PAT PL APT B",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926838814",
"telephone_number": "714-725-2374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8501 WILSHIRE BLVD STE 336",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902113134",
"telephone_number": "310-659-9511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SU-LE",
"first_name": "JUDY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-19",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "19647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
- Stuart H Kaplan, MD Professional Corporation
- Stuart L Silverman MD a Medical Corporation
- Stuart L Zubrick Marriage Family and Child, a Prof Corp
- Stuart M. Cohen, M.D., Inc.
- Breanna Arielle Stuhlmuller, DPT
- Cho Chun Su, AMFT
- Susan Meifang Su I, LAC.
- Edwin A Suddleson, M.D.
- Joseph Harry Sugerman, M.D.
- Sukrant Mehta, MD PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.