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

Jin Chae

Individual provider Case Manager/Care Coordinator · NPI 1225309958

Jin Chae is an Occupational Therapist in Private Practice in Los Angeles, California. Qualified in 2017, 9 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
9
Licensed in
OK
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

1665 W Adams Blvd
Los Angeles, CA 90007-1533
Phone: (323) 731-3534
Fax: (323) 731-5618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5813 (OK)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1225309958
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 26, 2012
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023

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 Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Los Angeles