Jennifer Bromberg
Occupational Therapist in Mission Viejo, CA. Individual provider (NPI-1).
NPI number1023136702
StatusActive
Last updated in NPPESJan 24, 2012
Details
- NPI
- 1023136702
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Bromberg
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2007
- Last updated
- Jan 24, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 8651 | CA | Yes |
Practice location
23361 Madero Ste 200Mission Viejo, CA 92691-7952
Phone 949-581-8239
Mailing address
100 Cartier AisleIrvine, CA 92620-5715
Phone 949-581-8239
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 36 Occupational Therapist providers in Mission Viejo · All 2,975 providers in Mission Viejo
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