Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaewon Kim

Individual provider Occupational Therapy Assistant · NPI 1902353204

Jaewon Kim is an Occupational Therapy Assistant in Buena Park, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
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Practice location Address checks out

7400 Artesia Blvd Apt 1107
Buena Park, CA 90621-3963
Phone: (808) 636-0094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA3462 (CA)

Record details

NPI number1902353204
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 2, 2016
Last updated in NPPESSeptember 2, 2016

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