KOREATOWN COMMUNITY BASED ADULT SERVICES INC. NPI 1184102287

NPI Information

KOREATOWN COMMUNITY BASED ADULT SERVICES, INC. is an adult day care clinic center in Los Angeles, CA. KOREATOWN COMMUNITY BASED ADULT SERVICES, INC. NPI is 1184102287. The provider is registered as an organization entity type.
The provider Is Doing Business As Koreatown Adult Day Health Care Center.

The provider's business location address is:

2140 W OLYMPIC BLVD STE 100
LOS ANGELES, CA
ZIP 90006-250
Phone: (213) 378-0101
Fax: (213) 378-0106

The provider's authorized official is Taewoong Kim .
The authorized official title is Administrator and has the following contact phone number (213) 378-0101.

The CLIA number assigned to this NPI record is 05D2171978 - other - adult day health care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2018 and was last updated on 5/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.