Provider Demographics
NPI:1932746864
Name:KOREAN COMMUNITY SERVICES INC.
Entity Type:Organization
Organization Name:KOREAN COMMUNITY SERVICES INC.
Other - Org Name:KC SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KEIDERLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-527-6561
Mailing Address - Street 1:451 W LINCOLN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-2912
Mailing Address - Country:US
Mailing Address - Phone:714-527-6561
Mailing Address - Fax:
Practice Address - Street 1:19742 MACARTHUR BLVD STE 245
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-2488
Practice Address - Country:US
Practice Address - Phone:714-527-6561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KOREAN COMMUNITY SERVICES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-12-10
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty