Jin Ri Kim, | |
6741 Lincoln Ave Spc 153, Buena Park, CA 90620-5678 | |
(714) 616-2799 | |
Not Available |
Full Name | Jin Ri Kim |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 6741 Lincoln Ave Spc 153, Buena Park, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801576459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 25243 (California) | Primary |
Provider Name | California Rehabilitation & Sports Therapy A California Physical Ther |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1386696409 PECOS PAC ID: 6709788896 Enrollment ID: O20040120001115 |
Mailing Address | Practice Location Address |
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Jin Ri Kim, 6741 Lincoln Ave Spc 153, Buena Park, CA 90620-5678 Ph: (714) 616-2799 | Jin Ri Kim, 6741 Lincoln Ave Spc 153, Buena Park, CA 90620-5678 Ph: (714) 616-2799 |
Mrs. Evelyn Delrosario, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8699 Holder St, Buena Park, CA 90620 Phone: 714-821-3620 | |
Miss Carol Overduin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8699 Holder St, Buena Park, CA 90620 Phone: 714-821-3620 | |
Grace E Chung, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7336 El Domino Way Apt 2, Buena Park, CA 90620 Phone: 714-356-2132 | |
Ms. Susana Gomez, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5911 Western Ave, Buena Park, CA 90621 Phone: 714-473-3252 | |
Hannah Chang, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5310 Falls Way Apt B, Buena Park, CA 90621 Phone: 818-900-3520 | |
Pain Free, P.c. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6286 Beach Blvd, Buena Park, CA 90621 Phone: 714-736-0075 Fax: 714-736-0076 | |
Kirstin Walsh, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8615 Knott Ave, Suite 8, Buena Park, CA 90620 Phone: 562-484-3860 |