Active NPI
Joohyoung Seo, O.T.
- Occupational Therapist
- Garden Grove, CA
National Provider Identifier
1649539651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT12242
- Practice address
- 9764 Garden Grove Blvd
Garden Grove, CA 92844-1615 - Phone
- (714) 590-0100
- Fax
- (714) 590-0089
- NPI assigned
- May 10, 2012
- Sex
- Male
- 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 | OT12242 | CA | Primary |
Addresses
Primary practice location
9764 Garden Grove Blvd
Garden Grove, CA 92844-1615
Mailing address
9764 Garden Grove Blvd
Garden Grove, CA 92844-1615
Phone (714) 590-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT12242 | Other | CA | CA LICENSE NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336608000000",
"number": "1649539651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9764 GARDEN GROVE BLVD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928441615",
"telephone_number": "714-590-0100",
"fax_number": "714-590-0089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9764 GARDEN GROVE BLVD",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928441615",
"telephone_number": "714-590-0100",
"fax_number": "714-590-0089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEO",
"first_name": "JOOHYOUNG",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-10",
"last_updated": "2012-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT12242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LICENSE NUMBER",
"identifier": "OT12242",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.