Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAEWON KIM
Active Sole ProprietorJAEWON KIM is a Occupational Therapy Assistant healthcare provider located in BUENA PARK, California. NPI 1902353204 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · BUENA PARK, CA
Registration Details
- NPI Number
- 1902353204
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 2, 2016 (9.9087195501265 yrs)
- Last Updated
- Sep 2, 2016
- License
-
OTA3462 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7400 ARTESIA BLVD APT 1107BUENA PARK, CA, 906213963Browse CA providers · Browse ZIP 90621
- Phone
- 8086360094
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in BUENA PARK, CA
| Name | Credential | NPI |
|---|---|---|
| JESSICA NIKOLETICH | — | 1639875800 |
| MR. JOSEF ZILDJIAN ESCOBAR DEJOS | OTA | 1487523601 |
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.