Individual provider · Type 1 NPI

Jae Yoon Im

Occupational Therapist · Burbank, CA

NPI number 1215713748 Active

Practice location

4100 W Alameda Ave # 346
Burbank, CA 91505-4195

Mailing address

940 Elden Ave Unit 302
Los Angeles, CA 90006-5845

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT23705 (CA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1215713748

Jae Yoon Im's National Provider Identifier is 1215713748, issued on Aug 31, 2023. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Burbank, CA. The record was last updated on Feb 5, 2026.