Individual
JIN CHAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1665 W ADAMS BLVD, LOS ANGELES, CA 90007-1533
(323) 731-3534
(323) 731-5618
Mailing address
1665 W ADAMS BLVD, LOS ANGELES, CA 90007-1533
(323) 731-3534
(323) 731-5618
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225X00000X
Occupational Therapist
Primary
5813
OK
Other
Enumeration date
01/26/2012
Last updated
07/31/2023
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