Active NPI
Dabin Kim
- Occupational Therapist
- Torrance, CA
National Provider Identifier
1740830355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT23927
- Practice address
- 3460 Torrance Blvd Ste 100
Torrance, CA 90503-5812 - Phone
- (310) 365-7738
- NPI assigned
- Sep 16, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT23927 | CA | Primary |
Addresses
Primary practice location
3460 Torrance Blvd Ste 100
Torrance, CA 90503-5812
Mailing address
2137 Sunny Ridge PL
Fullerton, CA 92833-1239
Phone (310) 365-7738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240814003846 | CA | Practitioner - Occupational Therapist in Private Practice | 5193263747 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT23927 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1740830355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2137 SUNNY RIDGE PL",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928331239",
"telephone_number": "310-365-7738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3460 TORRANCE BLVD STE 100",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905035812",
"telephone_number": "310-365-7738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DABIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-16",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT23927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.