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

Young Vin Im

Individual provider Occupational Therapist · NPI 1497274617

Young Vin Im is an Occupational Therapist in Private Practice in Costa Mesa, California. Qualified in 2017, 9 years ago. Practices with Functional Rehabilitation Physical Therapy PC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
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Practice location Address checks out

1700 Adams Ave Ste 103
Costa Mesa, CA 92626-4865
Phone: (714) 556-2288
Fax: (714) 435-1745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16152 Beach Blvd Ste 140, Huntington Beach, CA 92647-3861 — (714) 842-6202

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 17904 (CA)

Record details

NPI number1497274617
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 19, 2017
Last updated in NPPESMarch 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Functional Rehabilitation Physical Therapy Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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