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
Mailing address8051 Madia Cir, La Palma, CA 90623-1926

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

Other providers in Costa Mesa