Caroline Kim, | |
14515 Hamlin St, Van Nuys, CA 91411-1686 | |
(818) 989-7475 | |
Not Available |
Full Name | Caroline Kim |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 14515 Hamlin St, Van Nuys, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144784281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Bradley J E Profesional Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679337158 PECOS PAC ID: 2860830692 Enrollment ID: O20240329001048 |
Mailing Address | Practice Location Address |
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Caroline Kim, 1540 Alcazar St Ste 133, Los Angeles, CA 90089-1029 Ph: () - | Caroline Kim, 14515 Hamlin St, Van Nuys, CA 91411-1686 Ph: (818) 989-7475 |
Judie Park, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7447 Sepulveda Blvd, Van Nuys, CA 91405 Phone: 818-787-3400 | |
Mr. Jonathan Hearn, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14535 Sherman Cir, Van Nuys, CA 91405 Phone: 818-901-4930 | |
Sofia Gorker, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7447 Sepulveda Blvd, Van Nuys, CA 91405 Phone: 818-787-3400 | |
Renz Michael Gonzales, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7447 Sepulveda Blvd, Van Nuys, CA 91405 Phone: 818-787-3400 | |
Alyssa Marie Pontious, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15107 Vanowen St, Van Nuys, CA 91405 Phone: 818-782-6600 | |
Colleen Patterson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7120 Hayvenhurst Ave Ste 215, Van Nuys, CA 91406 Phone: 818-785-9515 |