EUN KYUNG BAE (NPI# 1760831853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760831853 |
| Entity Type | Individual |
| Full Name | EUN KYUNG BAE |
| Practice Address |
903 Crenshaw Blvd #301 Los Angeles CA 90019-1964 |
| Mailing Address |
903 Crenshaw Avenue #301 Los Angeles CA 90019 |
| Practice Telephone | 3239390840 |
| Practice Fax Number | 3239390850 |
| Mailing Telephone | (323) 939-0840 |
| Mailing Fax Number | 3239490850 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT16277 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA OCCUPATIONAL THERAPY BOARD | OT16277 | 01 |
| Street Address |
903 CRENSHAW BLVD #301 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90019-1964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710914254 | Hasung Lee Md Pediatic Clinic | Pediatrics | 903 Crenshaw Blvd, #104, Los Angeles, CA 90019 | 2006-06-28 |
| 1235670969 | Youn Kgan Kim | Acupuncturist | 903 Crenshaw Blvd, #302, Los Angeles, CA 90019-1964 | 2017-03-14 |
| 1407201676 | Canaan Surgery Center, Inc. | Clinic/Center | 903 Crenshaw Blvd, Suite 200, Los Angeles, CA 90019-1964 | 2016-04-25 |
| 1932591575 | Won Jung Choi | Acupuncturist | 903 Crenshaw Blvd, 304, Los Angeles, CA 90019-1964 | 2015-02-18 |
| 1881959500 | Michelle Dinh Nguyen Md A Medical Corporation | Anesthesiology | 903 Crenshaw Blvd, Ste.#200, Los Angeles, CA 90019-1964 | 2012-07-09 |
| 1205142809 | Cathy Kyonghee Kim | Acupuncturist | 903 Crenshaw Blvd, Suite 204, Los Angeles, CA 90019-1964 | 2010-08-20 |
| 1225343106 | Sunny Suneui Kim | Acupuncturist | 903 Crenshaw Blvd, #105, Los Angeles, CA 90019 | 2010-08-16 |
| 1962664862 | Youngbae Kim | Dentist | 903 Crenshaw Blvd, #303, Los Angeles, CA 90019-1964 | 2008-07-01 |
| 1285805002 | Sung Ho Chin | Occupational Therapist | 903 Crenshaw Blvd, Ste 301, Los Angeles, CA 90019-1967 | 2008-03-19 |
| 1265626972 | Dream Physical Therapy Inc | Physical Therapist | 903 Crenshaw Blvd, Suite 310, Los Angeles, CA 90019-1964 | 2007-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386299139 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1302 South La Brea, Los Angeles, CA 90019 | 2019-08-08 |
| 1104383694 | 310 Recovery Inc. | Clinic/Center | 1723 1/2 Hauser Blvd, Los Angeles, CA 90019 | 2019-02-21 |
| 1184131328 | Sehyeong Son | Acupuncturist | 1722 Crenshaw Blvd, Los Angeles, CA 90019 | 2018-01-09 |
| 1285158154 | Vanessa A. Myrie | Social Worker | 5562 Packard St., Los Angeles, CA 90019 | 2017-08-01 |
| 1093241309 | Hamburger Home | Community/Behavioral Health | 4066 W. 17th Street, Los Angeles, CA 90019 | 2017-05-05 |
| 1639614779 | Jung Ho Kang | Acupuncturist | 903 S. Crenshaw Blvd #304a, Los Angeles, CA 90019 | 2016-12-28 |
| 1912353491 | Sung Won Lee | Acupuncturist | 4027 W. Pico Bl., Los Angeles, CA 90019 | 2016-05-13 |
| 1497188528 | Sfvcmhc | Community/Behavioral Health | 5754 San Vicente Blvd, 401, Los Angeles, CALIFORNIA 90019 | 2013-08-13 |
| 1467890160 | Denise Breheny | Lactation Consultant, Non-RN | 1053 Carmona Ave., Los Angeles, CA 90019 | 2013-06-05 |
| 1336483122 | Nancy Denise - Latten Davidson | Student in an Organized Health Care Education/Training Program | 4073-75 West Pico Blvd, Los Angeles, CA 90019 | 2012-11-16 |
| Find all providers in zip 90019 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | 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 experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875024 | Sharon Kim Lee | Occupational Therapist | 1015 Figueroa Ter Apt 11, Los Angeles, CA 90012-4603 | 2020-09-11 |
| 1295348175 | Care for Me Ot | Occupational Therapist | 1551 Manning Ave Apt 203, Los Angeles, CA 90024-7412 | 2020-08-28 |
| 1093328395 | Sabrina Sabet | Occupational Therapist | 10833 Wilshire Blvd Apt 522, Los Angeles, CA 90024-4385 | 2020-08-26 |
| 1740892645 | Ellen Park | Occupational Therapist | 3148 W 11th St, Los Angeles, CA 90006-2322 | 2020-08-20 |
| 1235747692 | Amandarose Prado Webb | Occupational Therapist | 3112 Bagley Ave Apt 7, Los Angeles, CA 90034-2939 | 2020-07-21 |
| 1447868641 | Myra Jeanne Chang | Occupational Therapist | 3036 Stoner Ave, Los Angeles, CA 90066-1108 | 2020-07-14 |
| 1003434846 | Brian Chen | Occupational Therapist | 4205 Lockwood Ave # 3, Los Angeles, CA 90029-2917 | 2020-07-08 |
| 1023630639 | Spot for Kids Inc | Occupational Therapist | 2234 S Canfield Ave, Los Angeles, CA 90034-1134 | 2020-05-18 |
| 1942839097 | Rebecca Lindsey Moss | Occupational Therapist | 2115 Ridge Dr, Los Angeles, CA 90049-1153 | 2020-04-01 |
| 1538795000 | Lauren Monique Espinoza | Occupational Therapist | 1540 Alcazar St # Steet133, Los Angeles, CA 90089-0186 | 2020-03-17 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90019 |
Please comment or provide details below to improve the information on EUN KYUNG BAE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.