Jae Yoon Im, in Encino, CA - Medicare Occupational Therapist Provider

Jae Yoon Im, is a medicare enrolled "Occupational Therapist" provider in Encino, California. His current practice location is 15928 Ventura Blvd Ste 218, Encino, California. You can reach out to his office (for appointments etc.) via phone at (818) 518-9709.

Jae Yoon Im is licensed to practice in California (license number OT23705) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215713748.

Contact Information

	Jae Yoon Im,
	15928 Ventura Blvd Ste 218, Encino, CA 91436-4413
	(818) 518-9709
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jae Yoon Im
Gender	Male
Speciality	Occupational Therapist
Location	15928 Ventura Blvd Ste 218, Encino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215713748
Provider Enumeration Date: 08/31/2023
Last Update Date: 09/04/2023

Medicare PECOS Information:

PECOS PAC ID: 4183071301
Enrollment ID: I20231109002567

Medical Identifiers

Medical identifiers for Jae Yoon Im such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215713748	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT23705 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jae Yoon Im is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jae Yoon Im, 940 Elden Ave Unit 302, Los Angeles, CA 90006-5845 Ph: (310) 386-7768	Jae Yoon Im, 15928 Ventura Blvd Ste 218, Encino, CA 91436-4413 Ph: (818) 518-9709

Reviews and Comments

Occupational Therapist in Encino, CA

Yu-chen Wang, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5452 Lindley Ave Apt 301, Encino, CA 91316 Phone: 626-353-2749
Meri Tchouvandjian, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17609 Ventura Blvd, Suite 215, Encino, CA 91316 Phone: 818-501-8352
Anna Lissa Arvisu, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17609 Ventura Blvd Ste 215, Encino, CA 91316 Phone: 818-530-5144 Fax: 818-501-8325
Michelle Arguelles, MA. OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17609 Ventura Blvd Ste 215, Encino, CA 91316 Phone: 818-530-5148 Fax: 818-501-8352
Chiedu Nkemdilim Onwochei, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15928 Ventura Blvd Ste 218, Encino, CA 91436 Phone: 818-518-9709
Mr. Mohammad Mostafa Hassanpour, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5028 Rubio Ave, Encino, CA 91436 Phone: 818-385-0999
Ruslan Melnikov, OCCUPATIONAL THERAPY Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5255 Zelzah Ave Apt 107, Encino, CA 91316 Phone: 323-646-8858

Jae Yoon Im, - Medicare Occupational Therapist in Encino, CA