KOREAN HEALTH, EDUCATION, INFORMATION AND RESEARCH CENTER


Address: 621 S Virgil Ave Ste 401, Los Angeles, CA 90005-4040
Phone: 2132352500

KOREAN HEALTH, EDUCATION, INFORMATION AND RESEARCH CENTER (NPI# 1790308005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790308005
Entity Type Organization
Organization Name KOREAN HEALTH, EDUCATION, INFORMATION AND RESEARCH CENTER
Practice Address 621 S Virgil Ave Ste 401
Los Angeles
CA 90005-4040
Mailing Address 3727 W 6th St Ste 210
Los Angeles
CA 90020-5108
Practice Telephone 2132352500
Practice Fax Number 2134274008
Mailing Telephone 2132352500
Mailing Fax Number 2134274008
Enumeration Date 2020-05-20
Last Update Date 2020-06-16
Authorized Official Name MS. ERIN PAK (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 2132352500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1013311448 Korean Health, Education, Information and Research Center Clinic/Center 3255 Wilshire Blvd, Suite 120, Los Angeles, CA 90010-1404 2014-10-14
1467878835 Korean Health, Education, Information and Research Center Community/Behavioral Health 3727 W 6th St Ste 230, Los Angeles, CA 90020-5108 2014-03-10
1578809851 Korean Health, Education, Information and Research Center Clinic/Center 3727 W. 6th St, Suite 220, Los Angeles, CA 90020-5108 2012-12-14

Office Location

Street Address 621 S VIRGIL AVE STE 401
City LOS ANGELES
State CA
Zip Code 90005-4040

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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90005

Improve Information

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Dataset Information

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.

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