Individual
JAE YOON IM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 W ALAMEDA AVE # 346, BURBANK, CA 91505-4195
(818) 900-6565
Mailing address
940 ELDEN AVE UNIT 302, LOS ANGELES, CA 90006-5845
(310) 386-7768
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT23705
CA
Other
Enumeration date
08/31/2023
Last updated
02/05/2026
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