Healthcare Provider Details

I. General information

NPI: 1881019149
Provider Name (Legal Business Name): KRISTEN NICOLE YEE KAJITA M.A., OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2014
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 N HANDY ST
ORANGE CA
92867-4434
US

IV. Provider business mailing address

20052 PORT CIR
HUNTINGTON BEACH CA
92646-4717
US

V. Phone/Fax

Practice location:
  • Phone: 714-628-4000
  • Fax:
Mailing address:
  • Phone: 916-201-6233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number13914
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: