Provider Demographics
NPI:1760233258
Name:KOREAN AMERICAN CENTER
Entity Type:Organization
Organization Name:KOREAN AMERICAN CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAM HYEE
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-400-5878
Mailing Address - Street 1:20 TRUMAN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-5756
Mailing Address - Country:US
Mailing Address - Phone:949-400-5878
Mailing Address - Fax:
Practice Address - Street 1:20 TRUMAN ST STE 100
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-5756
Practice Address - Country:US
Practice Address - Phone:949-400-5878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KOREAN AMERICAN CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health