SUN BAY KOREATOWN, LLC (NPI# 1912555202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912555202 |
| Entity Type | Organization |
| Organization Name | SUN BAY KOREATOWN, LLC |
| Practice Address |
3060 W Olympic Blvd # 120 Los Angeles CA 90006-3832 |
| Mailing Address |
905 S Ardmore Ave Apt 501 Los Angeles CA 90006-1457 |
| Practice Telephone | 2134718288 |
| Mailing Telephone | 3107707091 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |
| Authorized Official Name | BENNETT KIM (CEO) |
| Authorized Official Telephone | 3107707091 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sun Bay Senior Club | Doing Business As Name - Organization |
| Street Address |
3060 W OLYMPIC BLVD # 120 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90006-3832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114583549 | Ruahrena Corporation | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3053 West Olympic Boulevard, Suite 301, Los Angeles, CA 90006 | 2019-05-10 |
| 1770048266 | Luxi Optometry, Inc | Ophthalmology | 3250 W. Olympic Blvd #221, Los Angeles, CA 90006 | 2019-02-08 |
| 1053895565 | Lili Mirtorabi D.d.s A Professional Corporation | Dentist | 2368 Pico Boulevard, Los Angeles, CA 90006 | 2018-09-20 |
| 1083192116 | Sanghee Hong | Nurse Practitioner | 2655 W Olympic Blvd Ste 101, Los Angeles, CA 90006 | 2018-07-31 |
| 1134638919 | Joon Hyung Kim | Chiropractor | 3130 W. Olympic Blvd., Suite 350, Los Angeles, CA 90006 | 2017-09-25 |
| 1578082988 | Judy Lee | Behavior Technician | 900 South Serrano Ave #401, Los Angeles, CA 90006 | 2017-09-18 |
| 1689126773 | Seungah Madison Lee | Acupuncturist | 3053 W. Olympic Blvd, #311, Los Angeles, CA 90006 | 2016-10-25 |
| 1790149789 | Kihyun Kim | Acupuncturist | 975 S. Vermont Ave, #201, Los Angeles, CA 90006 | 2016-04-06 |
| 1407215486 | Young Zoo Kim | Acupuncturist | 1001 S. Vermont Ave, #207, L.a., CA 90006 | 2016-02-18 |
| 1376916817 | Global Eastern Medicine Group | Acupuncturist | 1010 S. Fedora St. #101, Los Angeles, CA 90006 | 2015-11-05 |
| Find all providers in zip 90006 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790314201 | Bright & Right Adult Day Health Care, Inc. | Clinic/Center | 261 S Kenmore Ave, Los Angeles, CA 90004-5604 | 2020-04-06 |
| 1578193801 | Jmk Residential Facility | Clinic/Center | 1278 E 125th St, Los Angeles, CA 90059-3216 | 2020-01-26 |
| 1679118475 | Heavenly Adhc, Inc. | Clinic/Center | 4777 Santa Monica Blvd, Los Angeles, CA 90029-2631 | 2019-11-15 |
| 1760026298 | Bliss Health Care Services, Inc. | Clinic/Center | 1501 W Washington Blvd, Los Angeles, CA 90007-1258 | 2019-10-28 |
| 1558921601 | Crenshaw Community Center LLC | Clinic/Center | 1060 Crenshaw Blvd, Los Angeles, CA 90019-1900 | 2019-06-19 |
| 1760042915 | Koreatown Senior Center LLC | Clinic/Center | 3400 W Olympic Blvd, Los Angeles, CA 90019-2122 | 2019-06-19 |
| 1306308499 | Lily Adult Day Health Care Center | Clinic/Center | 610 S Kingsley Dr, Los Angeles, CA 90005-2318 | 2019-04-05 |
| 1184102287 | Koreatown Community Based Services, Inc. | Clinic/Center | 2140 W Olympic Blvd Ste 100, Los Angeles, CA 90006-2250 | 2018-07-31 |
| 1962918334 | Brown and Pipkins Corporation | Clinic/Center | 10924 S Vermont Ave, Los Angeles, CA 90044-3016 | 2017-12-21 |
| 1851848659 | Academy of Nutrition and Dietetics | Clinic/Center | 4537 Don Tonito Dr, Los Angeles, CA 90008-4114 | 2016-09-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90006 |
Please comment or provide details below to improve the information on SUN BAY KOREATOWN, LLC.
| 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.