Bom Vichae Physical Therapy Professional Corporation

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BOM VICHAE PHYSICAL THERAPY PROFESSIONAL CORPORATION

Practice address

1401 S Brookhurst Rd Ste 108
Fullerton, CA 92833-4492

Phone

(714) 519-3263

Fax

(714) 459-7079

NPI assigned

May 3, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eugene You, DPTNPI 1922613082

Title

President

Phone

(714) 615-2321

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eugene You, PT, DPT

  • Physical Therapist
  • Fullerton, CA
  • NPI 1922613082
  Medicare reassignment Care Compare group NPD Authorized official
• Jinsoo Lee

  • Physical Therapist
  • Fullerton, CA
  • NPI 1720886146
  Medicare reassignment Care Compare group NPD
• Juhyeong Lee

  • Orthopedic Physical Therapist
  • Los Angeles, CA
  • NPI 1982374062
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1942999131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S BROOKHURST RD STE 108",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S BROOKHURST RD STE 108",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334492",
            "telephone_number": "714-519-3263",
            "fax_number": "714-459-7079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Brea Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928353507",
            "country_code": "US",
            "telephone_number": "714-519-3012",
            "fax_number": "714-459-7079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOM VICHAE PHYSICAL THERAPY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "YOU",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-615-2321",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Bojorquez
• Richard Charles Bollin Jr., MD
• Bom Jeon Dental Corp
• Bom Seok Jeon, DDS, Inc
• Bom Vichae Home Health Agency LLC
• Frank Anthony Bonavita, MD
• David Michael Boner
• Genille Marie Bonilla-Taylor
• Maria Elena Bonilla
• Sarina Bontty

• Physical Therapist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.

Verify at the official NPI Registry.