Koryo Health Foundation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KORYO HEALTH FOUNDATION

Practice address

1058 S Vermont Ave
Los Angeles, CA 90006-2721

Phone

(213) 380-8833

Fax

(213) 368-6047

NPI assigned

Mar 3, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maribel Cervantes

Title

Assistant Administrator

Phone

(213) 380-8833

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Koryo Health Foundation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Koryo Health Foundaton

  dba Koryo Health Foundation

  • Non-Surgical Family Planning Clinic/Center
  • Los Angeles, CA
  • NPI 1497933691
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1093985418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062721",
            "telephone_number": "213-380-8833",
            "fax_number": "213-368-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062721",
            "telephone_number": "213-380-8833",
            "fax_number": "213-368-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORYO HEALTH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "CERVANTES",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "213-380-8833"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EAP70381F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Korst, M.A.
• Jens J Kort
• Shirley Rachel Korula, M.D.
• Korus Medical Group
• Korus Medical Group of Lee Chiropractic Corporation
• Koryo Health Foundation
• Koryo Health Foundaton (Koryo Health Foundation)
• Koryo Medical Center, a Professional Co.
• Amanda Kosack
• Rasagna Kosaraju, MD

• Primary Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.