Active NPI
Jihoo Seo
- Occupational Therapist
- Santa Monica, CA
National Provider Identifier
1629658018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21744
- Practice address
- 1932 14TH St
Santa Monica, CA 90404-4605 - Phone
- (310) 344-2276
- NPI assigned
- Apr 10, 2021
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 21744 | CA | Primary |
Addresses
Primary practice location
1932 14TH St
Santa Monica, CA 90404-4605
Mailing address
57 City Stroll
Irvine, CA 92620-3883
Phone (626) 698-2399
Other practice location 1
620 N Brand Blvd
Glendale, CA 91203-4208
Phone (213) 503-4878
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 |
|---|---|---|---|
| 21744 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618012800000",
"number": "1629658018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 CITY STROLL",
"city": "IRVINE",
"state": "CA",
"postal_code": "926203883",
"telephone_number": "626-698-2399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1932 14TH ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904044605",
"telephone_number": "310-344-2276"
}
],
"practiceLocations": [
{
"address_1": "620 N Brand Blvd",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912034208",
"country_code": "US",
"telephone_number": "213-503-4878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEO",
"first_name": "JIHOO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-10",
"last_updated": "2021-04-10",
"certification_date": "2021-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "21744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
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- Select Surgical, a Medical Corporation
- Selectcare Home Health
- Nattaporn Senasuntorn
- Sense of Self Professional Clinical Counselors Inc.
- Gyuhee Seong, MD
- Sepideh Kohn
- Marissa A Sepulveda, ASW
- Serenity Acupuncture Inc.
- Serenity Care Health Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.