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

Jin Ri Kim

Individual provider Occupational Therapist · NPI 1801576459

Jin Ri Kim is an Occupational Therapist in Private Practice in Buena Park, California. Qualified in 2023, 3 years ago. Practices with California Rehabilitation and Sports Therapy a California Physical The, a 181-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

6741 Lincoln Ave Spc 153
Buena Park, CA 90620-5678
Phone: (714) 616-2799
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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 25243 (CA)

Record details

NPI number1801576459
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 19, 2023
Last updated in NPPESJuly 19, 2023
Certification dateJuly 19, 2023
Mailing address6741 Lincoln Ave Spc 153, Buena Park, CA 90620-5678

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice California Rehabilitation And Sports Therapy A California Physical The — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Buena Park