Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
YEONJU NAM
ActiveYEONJU NAM is a Physical Therapy Assistant healthcare provider located in BUENA PARK, California. NPI 1619577699 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BUENA PARK, CA
Registration Details
- NPI Number
- 1619577699
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 28, 2020 (5.6142335466858 yrs)
- Last Updated
- Nov 21, 2025
- Licenses
-
040982 (NY)PT306065 (CA)
Practice Information
- Address
-
7941 BEACH BLVD STE JBUENA PARK, CA, 906201900Browse CA providers · Browse ZIP 90620
- Phone
- 7147366855
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in BUENA PARK, CA
| Name | Credential | NPI |
|---|---|---|
| MARTHA CERDA | R.P.T., PA-C | 1053321406 |
| JAN-YUAN DUMN-MUH | P.T. | 1497766109 |
| MELINDA R. MENCHAVEZ | PT | 1194825786 |
| FERDINAND REYES MANGASEP SR. | PT | 1245391879 |
| ALLAN BAUTISTA | RPT | 1932263878 |
| GAIL BALLON | RPT | 1235293176 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.