Active NPI
June Sean
- Orthotic Fitter
- Los Angeles, CA
National Provider Identifier
1811547474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- Practice address
- 1830 W Olympic Blvd Ste 123
Los Angeles, CA 90006-3734 - Phone
- (213) 383-9212
- 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 |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | Primary |
Addresses
Primary practice location
1830 W Olympic Blvd Ste 123
Los Angeles, CA 90006-3734
Mailing address
1830 W Olympic Blvd Ste 123
Los Angeles, CA 90006-3734
Phone (213) 383-9212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GPT000880 | Medicaid | CA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamics Walkagain Rehab Inc. | Current | Accepting new patients |
Locations
1830 W Olympic Blvd
Ste 123
Los Angeles, CA 90006
Phone (213) 383-9212
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Los Angeles, CA
- NPI 1164564688
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": "1568592000000",
"number": "1811547474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 W OLYMPIC BLVD STE 123",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900063734",
"telephone_number": "213-383-9212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 W OLYMPIC BLVD STE 123",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900063734",
"telephone_number": "213-383-9212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEAN",
"first_name": "JUNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-16",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GPT000880",
"state": "CA"
}
],
"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 Sep 16, 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.