Active NPI
Jaehyun Kim, O.T.
- Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1942608302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT9178
- Practice address
- 520 S Virgil Ave
201
Los Angeles, CA 90020-1416 - Phone
- (213) 480-0021
- Fax
- (213) 480-0621
- NPI assigned
- Dec 16, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT9178 | CA | Primary |
Addresses
Primary practice location
520 S Virgil Ave
201
Los Angeles, CA 90020-1416
Mailing address
520 S Virgil Ave
201
Los Angeles, CA 90020-1416
Phone (213) 480-0021
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT9178 | CA | MD | Occupational Therapist |
| 9178 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418688000000",
"number": "1942608302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 S VIRGIL AVE",
"address_2": "201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201416",
"telephone_number": "213-480-0021",
"fax_number": "213-480-0621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S VIRGIL AVE",
"address_2": "201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201416",
"telephone_number": "213-480-0021",
"fax_number": "213-480-0621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JAEHYUN",
"credential": "O.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-16",
"last_updated": "2014-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT9178",
"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 Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.