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

Yeonju Nam

Individual provider Physical Therapist · NPI 1619577699

Yeonju Nam is a Physical Therapist in Private Practice in Buena Park, California. Qualified in 2021, 5 years ago. Practices with Kim Physical Therapy Associates PC, a 3-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
5
Licensed in
CA, NY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

7941 Beach Blvd Ste J
Buena Park, CA 90620-1900
Phone: (714) 736-6855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT306065 (CA)
Physical Therapist Taxonomy 225100000X · Licence 040982 (NY)

Record details

NPI number1619577699
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 28, 2020
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025
Mailing address7941 Beach Blvd Ste J, Buena Park, CA 90620-1900

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Kim Physical Therapy Associates Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Buena Park