Provider Demographics
NPI:1760042915
Name:KOREATOWN SENIOR CENTER LLC
Entity Type:Organization
Organization Name:KOREATOWN SENIOR CENTER LLC
Other - Org Name:KOREATOWN SENIOR CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:BOYOUNG
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-604-1778
Mailing Address - Street 1:3400 W OLYMPIC BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90019-2292
Mailing Address - Country:US
Mailing Address - Phone:323-334-4600
Mailing Address - Fax:323-334-4601
Practice Address - Street 1:3400 W OLYMPIC BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90019-2122
Practice Address - Country:US
Practice Address - Phone:213-604-1778
Practice Address - Fax:323-334-4601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-19
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care