KORUS MEDICAL CENTER, INC. (NPI# 1821480377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821480377 |
| Entity Type | Organization |
| Organization Name | KORUS MEDICAL CENTER, INC. |
| Other Organization Name | N/A |
| Practice Address |
26 Centerpointe Dr. 115 La Palma CA 90623-2567 |
| Practice Telephone | 7146700007 |
| Practice Fax Number | 7146700005 |
| Mailing Telephone | 7146700007 |
| Mailing Fax Number | 7146700005 |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2016-06-24 |
| Authorized Official Name | DR. JOON HO LEE (PRESIDENT) |
| Authorized Official Telephone | 7146700007 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 225X00000X | Occupational Therapist | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 111N00000X | Chiropractor | CA | Chiropractic Providers | |
| N | 208600000X | Surgery | CA | Allopathic & Osteopathic Physicians | |
| Y | 208D00000X | General Practice | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| N/A | Other Name - Individual/Organization |
| Street Address |
26 CENTERPOINTE DR. 115 |
| City | LA PALMA |
| State | CA |
| Zip Code | 90623-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972026953 | Kimberley Pak | Behavioral Analyst | 6 Centerpointe Dr Ste 700, La Palma, CA 90623 | 2017-07-20 |
| 1881127850 | Gaylynn Motta | Social Worker | 7512 Keith Circle, La Palma, CA 90623 | 2017-04-06 |
| 1073062832 | Kaiser Permanente | General Acute Care Hospital | 4932 Santiago Drive, La Palma, CA 90623 | 2016-09-22 |
| 1205204179 | Joanna L Tran | Physician Assistant | 5451 La Palma Avenue Suite 25, La Palma, CA 90623 | 2015-09-09 |
| 1558783258 | Marilyn Lee | Nurse Practitioner | 1 Centerpointe Dr., Ste 415, La Palma, CA 90623 | 2014-01-15 |
| 1487089157 | Occupational Health Centers of Illinois PC | Clinic/Center | 40 Centerpointe Dr, La Palma, CA 90623 | 2013-09-12 |
| 1619217833 | Seong Woo Rhee | Acupuncturist | 7872 Walker St., Suite#104, La Palma, CA 90623 | 2013-02-25 |
| 1942553458 | Michael Zhang | Dentist | 4511 Montecito Dr., La Palma, CA 90623 | 2012-10-22 |
| 1174824841 | Justin Wu | Internal Medicine | 5451 La Palma Ave Ste 25, La Palma, CA 90623 | 2010-11-10 |
| 1669667762 | Guity N Yeganeh | Pediatrics | 5 Centerpoint Dr., La Palma, CA 90623 | 2007-09-11 |
| Find all providers in zip 90623 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
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| 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.