Active NPI
Koreatown Community Based Adult Services, Inc.
Doing business as Koreatown Adult Day Health Care Center
- Adult Day Care Clinic/Center
- Los Angeles, CA
National Provider Identifier
1184102287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- KOREATOWN COMMUNITY BASED ADULT SERVICES, INC.
- Doing business as
- Koreatown Adult Day Health Care Center
- Practice address
- 2140 W Olympic Blvd Ste 100
Los Angeles, CA 90006-2250 - Phone
- (213) 378-0101
- Fax
- (213) 378-0106
- NPI assigned
- Jul 31, 2018
- Last updated
- May 7, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Taewoong Kim
- Title
- Administrator
- Phone
- (213) 378-0101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | NU | Primary |
Addresses
Primary practice location
2140 W Olympic Blvd Ste 100
Los Angeles, CA 90006-2250
Mailing address
2140 W Olympic Blvd Ste 100
Los Angeles, CA 90006-2250
Phone (213) 378-0101
Other names 1
- Koreatown Adult Day Health Care Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2171978 | Koreatown Adult Day Health Care Center | Certificate of waiver | Sep 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
2140 W Olympic Blvd
Ste 100
Los Angeles, CA 90006
Phone (213) 378-0101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620345600000",
"number": "1184102287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 W OLYMPIC BLVD STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900062250",
"telephone_number": "213-378-0101",
"fax_number": "213-378-0106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 W OLYMPIC BLVD STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900062250",
"telephone_number": "213-378-0101",
"fax_number": "213-378-0106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOREATOWN COMMUNITY BASED ADULT SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-31",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "TAEWOONG",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "213-378-0101"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Koreatown Adult Day Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
- Korean Health Education Information and Research Center
- Korean Health, Education, Information and Research Center
- Korean Health, Education, Information and Research Center (Kheir Pharmacy)
- Korean Health, Education, Information and Research Center
- Korean Town Home Care Inc
- Koreatown Senior Center LLC (Koreatown Senior Center)
- Koreatown Urgent Care Center
- Koreatown Youth & Community Center, Inc.
- Koreatown Youth and Community Center, Inc.
- Jonathan Joseph Korel
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.