KOREAN COMMUNITY SERVICES (NPI# 1215359039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215359039 |
| Entity Type | Organization |
| Organization Name | KOREAN COMMUNITY SERVICES |
| Practice Address |
7281 Garden Grove Blvd Ste H Garden Grove CA 92841-4212 |
| Mailing Address |
8633 Knott Ave Buena Park CA 90620-3852 |
| Practice Telephone | 7145394544 |
| Mailing Telephone | 7145276561 |
| Mailing Fax Number | 7145276563 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |
| Authorized Official Name | MR. KAY AHN (OPERATION DIRECTOR) |
| Authorized Official Telephone | 7145276561 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184716581 | Korean Community Services | Community/Behavioral Health | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2006-09-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KOREAN COMMUNITY SERVICES OF METRO NY | 203-05 32nd Ave, Bayside, NY 11361-1021 |
| Street Address |
7281 GARDEN GROVE BLVD STE H |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92841-4212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063506897 | David Bryan Fryer | Counselor | 7281 Garden Grove Blvd, Suite H, Garden Grove, CA 92841-4212 | 2006-10-03 |
| 1487152161 | Marlene Favors | Marriage & Family Therapist | 7281 Garden Grove Blvd, Garden Grove, CA 92841-4212 | 2018-01-26 |
| 1780003418 | Antonia Allison | Counselor | 7281 Garden Grove Blvd, Garden Grove, CA 92841-4212 | 2014-04-09 |
| 1578986279 | Eric Burnell | Social Worker | 7281 Garden Grove Blvd, Garden Grove, CA 92841-4212 | 2014-01-31 |
| 1891117339 | Donna Flores-garcia | Counselor | 7281 Garden Grove Blvd, Suite H, Garden Grove, CA 92841-4212 | 2014-01-17 |
| 1639419690 | Patrick William Demers | Counselor | 7281 Garden Grove Blvd, Suite H, Garden Grove, CA 92841-4212 | 2013-02-27 |
| 1932298882 | Kenneth R. Sheller | Counselor | 7281 Garden Grove Blvd, Suite H, Garden Grove, CA 92841-4212 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174179980 | Erica R Jackson | Technician | 11355 Desmond St, Garden Grove, CA 92841 | 2019-08-16 |
| 1184107500 | Tat Pharmacy, Inc | Pharmacy | 9153 Garden Grove Blvd., Garden Grove, CA 92841 | 2018-09-11 |
| 1083119002 | Hoang Dmd Dental Inc. | Dentist | 9639 Chapman Ave, Garden Grove, CA 92841 | 2018-03-30 |
| 1699282434 | Rubi Esmeralda Tapia | Social Worker | 7441 Lincoln Way Ste 250, Garden Grove, CA 92841 | 2018-01-02 |
| 1144739830 | Bryan Nguyen | Spec/Tech, Health Info | 9862 Chapman Ave., Ste. B, Garden Grove, CA 92841 | 2017-09-25 |
| 1649796111 | Jesus Torres | Case Manager/Care Coordinator | 9862 Chapman Ave Suite B, Garden Grove, CA 92841 | 2017-08-16 |
| 1477005312 | Naincee Tolani | Occupational Therapist | 12881 Knott Street, Suite 103, Garden Grove, CA 92841 | 2016-10-26 |
| 1114385838 | Quyen Do | Case Manager/Care Coordinator | 9862 Chapman Ave, Ste. B, Garden Grove, CA 92841 | 2016-02-09 |
| 1629331657 | Superior Medical Management, LLC | Clinic/Center | 9862 Lemore Drive, Garden Grove, CA 92841 | 2012-06-25 |
| 1376818344 | Meghan Lyyn-deibert Pickens | Behavioral Analyst | 7291 Garden Grove Blvd. Suite F, Garden Grove, CA 92841 | 2012-03-09 |
| Find all providers in zip 92841 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356703292 | David Wayne Miller | Counselor | 8692 La Grand Ave, Garden Grove, CA 92841-1011 | 2016-03-21 |
| 1568822005 | Jessica Anne Becker | Counselor | 6162 Trinette Ave, Garden Grove, CA 92845-2745 | 2016-02-25 |
| 1043577273 | Victor M Mettler | Counselor | 12171 Brookhaven Park, Garden Grove, CA 92840-2849 | 2012-04-12 |
| 1811262827 | Julie A Mills | Counselor | 13182 Coleman Pl, Garden Grove, CA 92843-1218 | 2012-03-09 |
| 1083795025 | George Albert Baca | Counselor | 9842 W.13th St, Garden Grove, CA 92844 | 2006-10-18 |
| 1235227265 | Carolina Echeverria Gonzalez | Counselor | 12531 Harbor Blvd Ste G, Garden Grove, CA 92840-5824 | 2006-10-11 |
| 1063506897 | David Bryan Fryer | Counselor | 7281 Garden Grove Blvd, Suite H, Garden Grove, CA 92841-4212 | 2006-10-03 |
| 1134226087 | Carmen L. Franklin | Counselor | 12516 Sungrove Cir, Garden Grove, CA 92840-5927 | 2006-09-20 |
| 1205318581 | Felicia Salmon | Counselor | 7281 Garden Grove Blvd Ste H, Garden Grove, CA 92841-4212 | 2018-09-03 |
| 1659887164 | Joel Milla | Counselor | 12531 Harbor Blvd Ste G, Garden Grove, CA 92840-5824 | 2017-12-19 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92841 |
Please comment or provide details below to improve the information on KOREAN COMMUNITY SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.