Koryo Health Foundaton

Primary specialty

Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X

License

960000265 Issued in CA

Legal business name

KORYO HEALTH FOUNDATON

Doing business as

Koryo Health Foundation

Practice address

2655 W Olympic Blvd Ste 101
Los Angeles, CA 90006-2800

Phone

(213) 380-8833

Fax

(213) 368-6047

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Moon Ju Kim

Title

Ceo

Phone

(213) 675-4909

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Koryo Health Foundation Doing business as

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 Foundation

  • Primary Care Clinic/Center
  • Los Angeles, CA
  • NPI 1093985418
  NPD tax ID

Locations

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1497933691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 W OLYMPIC BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062800",
            "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": "2655 W OLYMPIC BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062800",
            "telephone_number": "213-380-8833",
            "fax_number": "213-368-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORYO HEALTH FOUNDATON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MOON",
        "authorized_official_middle_name": "JU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-675-4909"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "CA",
            "license": "960000265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAP70381F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760408470",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306871413",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koryo Health Foundation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Koryo Health Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shirley Rachel Korula, M.D.
• Korus Medical Group
• Korus Medical Group of Lee Chiropractic Corporation
• Koryo Health Foundation
• Koryo Health Foundation
• Koryo Medical Center, a Professional Co.
• Amanda Kosack
• Rasagna Kosaraju, MD
• Revanth Kosaraju, MD
• Ekatherina Kosarenko, LCSW

• Non-Surgical Family Planning Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Non-Surgical Family Planning Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.