Active NPI
Jackie Marlene Yoon
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1336049048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 310787
- Practice address
- 1407 S Vermont Ave
Los Angeles, CA 90006-4503 - Phone
- (213) 739-0300
- NPI assigned
- Nov 7, 2026
- Last updated
- Nov 7, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 19981 | CA | |
| Physical Therapist | 225100000X | 310787 | CA | Primary |
Addresses
Primary practice location
1407 S Vermont Ave
Los Angeles, CA 90006-4503
Mailing address
1407 S Vermont Ave
Los Angeles, CA 90006-4503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1794009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1794009600000",
"number": "1336049048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900064503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900064503",
"telephone_number": "213-739-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOON",
"first_name": "JACKIE",
"middle_name": "MARLENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-11-07",
"last_updated": "2026-11-07",
"certification_date": "2026-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "19981",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "310787",
"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 Nov 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.