KOREATOWN SENIOR CENTER LLC NPI 1760042915

NPI Information

KOREATOWN SENIOR CENTER LLC is an adult day care clinic center in Los Angeles, CA. KOREATOWN SENIOR CENTER LLC NPI is 1760042915. The provider is registered as an organization entity type.
The provider Is Doing Business As Koreatown Senior Center.

The provider's business location address is:

3400 W OLYMPIC BLVD
LOS ANGELES, CA
ZIP 90019-122
Phone: (213) 604-1778
Fax: (323) 334-4601

The provider's authorized official is Helen Boyoung Kim .
The authorized official title is Authorized Official and has the following contact phone number (213) 604-1778.

The CLIA number assigned to this NPI record is 05D2191117 - other - adult day hlt care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2019 and was last updated on 8/2/2023.

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:

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